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NOTE: PULL ALL 1-cRMITS (Septic, Well, etc.) MAKE du"DIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008539 <br /> DATE RECEIVED by EHD: December 14,2010 <br /> APPL#: PA-1000271 <br /> Referral Agency STAVE CONTACT: JOHN FUNDERBURG <br /> PE : 2690 <br /> COMPLETE& SUBMIT BY: LOT LINE ADJUSTMENT(LA) <br /> --ASA <br /> SITE ADDRESS: 18555 S MAC ARTHUR DR, TRACY Assigned to : EE0004045 TASIOPOCILOS <br /> APN : 21302016 33 36 <br /> [n 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: Sewer-L-- <br /> M <br /> r <br /> Name of Purveyor _- <br /> SUMARY OR COMMENTS. Name of System <br /> AX <br /> No <br /> [ recommend: Approval Denial Continuance � Inspe� <br /> Supervisor/Lead Senior COMMENTS: Signif re <br /> SUPERVISOR/LEAD SENIOR Approval f <br /> OA I!Check Offl►sf ��� � ;Proofread R�` art �. �,� ,k � Date / �� �� <br /> �°� �-,� ,�,,�. p _.. -.. Coix'ecf I.A�D U���?, °s'�` '• � �. <br /> EH 06 06 Report#7201 <br /> December 14,2010 <br />