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4 - NOTE: PULL ALLA-.,dRMITS (Septic, Well, etc.) MAM—OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005185 <br /> DATE RECEIVED by EHD: July 06,2005 APPL#: PA-0500400 <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES PE : 2690 <br /> LOT LINE ADJUSTA9ENT(LA) <br /> COMPLETE& SUBMIT BY: <br /> Assigned to • EE0000149 BORGES <br /> SITE ADDRESS: 1.7547 S CONCONEX RD, MANTECA APN : 20818003 <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 /> 1 recommend: Approval Denial F-1F-1Continuance Inspector: <br /> Signature <br /> .y <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR LEAD SENIOR Approval: LlllDate: <br /> " Proofread Repvrt� a.= �¢�ti" `` '' s ,Correct LAND USE <br /> OA I!Check Off L rst ..: <br /> "Correc'#CONDITIO\(S) `' _.xs ��'r Logged inLAND,USE <br /> EF1 06 06 Report#7201 July 06,2005 <br />