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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012124 <br /> DATE RECEIVED by EHD. January 03,2019 APPL#.- PA-1800332 <br /> Referral Agency STAFF CONTACT CHRISTINE LUCKASEN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: Fri, January 11, 2019 <br /> Assigned to : EE0000034 ARMED <br /> SITE ADDRESS: 15800 W GRANT LINE RD,TRACY APN : 20919034 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhib*t (i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complet map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: IJo, Public Sewer: u, <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 'Two "—Lc- ("rm"t S <br /> oat "LC ckr.LLed i-. 1998 was c0•6ire,14 vow See uj Yta dV;tL.ed i.a '?-Cog. SBP Sxani ?0 <br /> 11V-vlr SA �,3/f. O/�aw«d �n+k�i�Yrl� /au--44 sw ,p//t 1*,R- <br /> 5'fy, Y•J•-t /�/7 /�• Nd .d�M'.��Y1�Ui N.(�LIaYY� 01jMcJ7 S/wy„L e. ��f r(•Y1. <br /> O � <br /> 40a rnrr4:G(. <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> - <br /> L <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE 49 <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 January 04,2019 <br />