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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008516 <br /> DATE RECEIVED by EHD: November 29,2010 ADPL 4: PA-1000246 <br /> Referral Agency STAFF CONTACT: KEVINSWANSON PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE & SUBMIT BY: R <br /> -- - - Assigned to : EE4004045 TASIOPOULOS <br /> SITE ADDRESS. 5962 E DIVISION ST,MANTECA APN : 25709029 30 <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: , tel ���� ✓,5�f G� � <br /> d <br /> oza 1A <br /> q ,It k14" 14 ova <br /> W 401/ 5, <br /> 1 recommend: Approval H— Denial Continuance Inspecto •• <br /> P—Signatu�e <br /> Supervisor/Lead Senior COMMENTS: _ <br /> SUPERVISOR/LEAD SENIOR Approval: Date: [� <br /> P-raft ead Repos i? I r <br /> - fzt 0-0.1'OA!1 ChieckOff Lrst , :fCatxect LAND USfi {?(�I+) LT1oNSj dt& I oped zn L ANb i3E I3 k � �._ <br /> EH 06 06 Report B7201 )November 29,2010 <br />