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NOTE: PULL ALLRMITS (Septic, Well, etc.) MAKE SPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005117 <br /> DATE RECEIVED by EHD: June 20,2005 APPL ft: PA-0500369 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, July 5, 2005 <br /> Assigned to : EE0404000 VAN DYNE <br /> SITE ADDRESS: 2286 E VIERRA RD, LATHROP APN : 24128013 <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: �.. `l L!� TiC E' 1-0Cef-7-1414 QE 7—a-F— WELL- a <br /> 1) i keo F��' ;E L Rl OM A bbl-1iDA <br /> ZZ� os - 06 <br /> j 4F <br /> I recommend: Approval Denial Continuance Inspector: y <br /> Signature <br /> Su ervisor/Lead Senior COMMENTS: <br /> 07 <br /> - � Y <br /> / Ph <br /> i <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA!!Chock Off List: Proofread Report? '' Correct LAND USE W. <br /> ,it . <br /> Correct CONDITIONS)? -77 <br /> Logged m i:ANDE USE Book?; r° `x "• _ ; <br /> E1-1 06 06 Report#7201 June 20,2005 <br />