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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009452 <br /> DATE RECEIVED by EHD: December 21,2012 APPL#: PA-1200249 <br /> Referral Agency STAFF CONTACT: JOIJN LFUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 28028 S MANTECA RD, MANTECA APN: 25717008 09 11 <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 ion, etc.... <br /> C— <br /> Public Water: Public Sewer: <br /> Name of Purveyor // Name of System <br /> SUMMARY OR COMMENTS: /�dl2- <br /> I recommend: Approval Denial Continuance ❑ Inspector: <br /> — ure <br /> Suoervisor/Lead Senior COMMENTS: <br /> n e 2L (D34 (170/0 <br /> SUPERVISOR/LEAD SENIOR Approval: _ Date: <br /> OA 11 Cheek Off List: Proofread Report? Correct LAND"USE#.? " <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 <br /> December 21,201 <br />