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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011934 <br /> DATE RECEIVED by EHD: September l 1,2018 APPL#: PA-1800191 <br /> Referral Agency STAFF CONTACT. FRANK GIRARDI PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Mon, September 17, 2018 kel sM <br /> - Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: S JACK TONE RD, MANTECA APN : 24516038,24516039 <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: Ioyq Public Sewer: IvdllG <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> /'/O Pa&--el . �c•sJ 1_o f [1.Ae �yt7 1^ a ;f- -Abk,.4 _c�l'6 <br /> I recommend: Approval Denial Continuance Inspector: ,, .. <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 1 <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 12,2018 <br />