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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011470 <br /> DATE RECEIVED by EHD: August 18,2017 APPL#: PA-1700167 <br /> Referral Agency STAFF CONTACT RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, August 25, 2077 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 18402 S JACK TONE RD,MANTECA APN: 24503001 <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: IASIS( Al-b t 13 tt(c A.trl<-b <br /> b b- 61,p <br /> I recommend: Approval ❑ Denial ❑ Continuance 0 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A11 h ek List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 21,2017 <br />