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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009197 <br /> DATE RECEIVED by EHD: May 22,2012 APPL#: PA-1200094 <br /> Referral Agency STAFF CONTACT: RI ,KAMM PE : 2690 <br /> 1144 F■ LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <br /> � Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 12992 E GRAVES RD, MANTECA APN: 22807009 1011 <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 eyor Name of System <br /> SUMMARY OR COMMENTS: � s�z L- <br /> 7 J <br /> / �G113 :;4� 'rArr. 1 <br /> 1A412, crAeiQ <br /> 1 recommend: Approval ® Denial Continuance El Inspe <br /> Supervisor/Lead Senior COMMENTS, nature <br /> SUPERVISOR/LEAD SENIOR Approval: Date: - <br /> _OA lI Check Off List: Proofrcad Report Correct LAND VSE#" <br /> < -.,,I ( OM)I"f10N(S)? Logged in LAND USE: Book? <br /> tl1 06 06 Report 47201 May 22,2012 <br />