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F F <br /> NOTE: PULL ALoOERMITS (Septic, Well, etc.) MAKk,.&PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008006 <br /> DATE RECEIVED by EHD: December 03,2009 ADPL#: PA-0900266 RE <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2663 <br /> VARIANCE(VR) <br /> COMPLETE& SUBMIT BY: Tue, December 22, 2009 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 3.1011 S TWO RIVERS RD, MANTECA APN : 25709011 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: .�� Public Sewer:-` <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> GC- f7 U <br /> I recommend: Approval ®_ Denial Continuance Inspectoxr <br /> I gnatnre <br /> 1 Supervisor/Le d Senior COMMENTS: <br /> r <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off li$t Prafread lfCl� � correct ANTI USE# <br /> correct CONDITI02 _ Lagge �rr fJS`I IIt1�2 <br /> _.. a <br /> EH 06 06 Report#7201 December 04,2009 <br />