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NOTE: PULL AD.,ERMITS (Septic, Well, etc.) 'MAKE -43PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008845 <br /> DATE RECEIVED by EHD: ,August 01,2011 APPL#: PA-]]00133 <br /> Referral Agency STAFF CONTACT: J- T L DERBR <br /> UG PE : 2690 <br /> I LOT LINE ADJUSTMENT(LA) <br /> COMPLETE &SUBMIT BY: Ka <br /> R <br /> Assigned to : FE0004045 TASIOPOULOS <br /> SITE ADDRESS: 14631 S JACK TONE RD, MANTECA APN : 20115009 10 17 <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: ,,? , � � 1wi <br /> 7-- <br /> Aa c _ x A4- — ek <br /> 19 U <br /> I recommend: ApprovalyDenial1:1 Continuance 1:1Inspec <br /> Supervisor/Lead Senior COMMENTS: tgnat <br /> 0-f <br />�I <br /> f <br /> SUPERVISOR/LEAD SENIOR App o a J J <br /> � <br /> oa ,<Check OffstPcofrecptca'Y .�: ..: 7 c <br /> , pN� ;.>.. <br /> .�:�`" ;_.�.�" ., '�➢:a ..,� -.... ....,......,.._.„S�" ....,.....m.,.a�`x.. '. '.._.�,''�,,.aL`� �E3[lri.l��E'�.�Y'�".,.. (3S)�C�i� `, �° '—'� y'�C�^*"'�c t�' ;�; -�t S',E <br /> EH 06 06 Peport 1!7201 <br /> f <br /> August 01,2011 <br />