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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010447 <br /> DATE RECEIVED by EHD: April 06,2015 APPL#: PA-1500061 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> c LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: A S Ae <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 17881 S GLENWOOD AVE, MANTECA APN : 20820027 20835015 <br /> Ili 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, wI erection, etc.... _ <br /> Public Water: Public Sewer: �— <br /> Name of Pu veyor Name of System <br /> SUMMARY OR COMMENTS: <br /> �v +:r/�._ ✓fig l�ctcr. <br /> :4 <br /> v d .,few <br /> I recommend: Approval ® Denial Continuance Inspecto <br /> �� _Si�rtatUre <br /> Supervisor/Lead Senior COMMENTS: <br /> 0� <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> [QA / h Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 April 06,2015 <br />