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NOTE: PULL HERMITS (Septic, Well, etc.) IWAIi"10PIE:S FORFILE <br /> LAND USE REPORT RECORD ID: SU0007593 <br /> DATE RECEIVED by EHD: February 13,2009 APPL#: PA-0900021-29 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: <br /> � Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 25570 S MANTECA , A A APN : 25715002 <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: 5WG 2— d A� <br /> yq—T' o <br /> 0�'-29 66 IVO aksokcr <br /> A- -z p <br /> I recommend: Approval ~DenialContinuance Inspect - f <br /> ` <br /> Supervisor/Lead Senior COMMENTS: l Signature <br /> Ah <br /> SUPERVISOR LEAD SENIOR Approval.. <br /> DA II Check OffltsiF.� Correct l�Fit [I.SE Book�' w,. <br /> Eli 06 06 Report V20I <br /> February 17,2009 <br />