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�— NOTE: PULL AL&- PERMITS (Septic, Well, etc.) MAKE t.OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007530 <br /> DATE RECEIVED by EHD: January 02,2009 APPL#: PA-0800316 <br /> Referral Agency STAFF CONTACT: PATRICK CROSBY PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: Wed, January 14, 2009 <br /> Assigned to : EE0004045 7'ASIOPOULOS <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: Public Sewer:i- <br /> Name o7rveyor Name of System <br /> SUMMARY OR COMMENTS: ?:`<s <br /> 00, <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: �� _ Datee t? <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? ' <br /> Correct CONDITION(S)'? Logged in LAND USE Book? <br /> Eli 06 06 Report N7201 January 05,2009 <br />