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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012195 <br /> DATE RECEIVED by EHD: February 14,2019 APPL#: PA-1800200 <br /> Referral Agency STAFF CONTACT CHRISTINE LUCKASEN PE : 2631 <br /> SITEAPPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, February 28, 2019 RM-c-led <br /> Assigned to : FE0000034 AHMED <br /> SITE ADDRESS: 6299 E WEST RIPON RD, MANTECA APN : 22611028 <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: M4,,,- Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> -,A 44rle- <br /> _Llel�lt_ 4,a lel .hA z r✓L�1� a,v\ �.�n�tt QrYJ/Jedtd' .c�i brc w.a/ It w.l �t-¢.� eie./�Ys� <br /> OhJ�n�-� �/ni 7'L�-yY.eC n.� /�K w'+r3 t �� ✓l�' 'r' yiGGC C [Lt�/1 1uwA/C L�/' <br /> I recommend: Approval ❑ Denial 1-1 Continuance Inspector: <br /> Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> C <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 February 19,2019 <br />