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P <br /> P NOTE: PULL ALL'β€ž-ERMITS (Septic, Well, etc.) MAKE ..dPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004779 <br /> DATE RECEIVED by EHD: January 10,2005 APPL#: PA-04-704 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: <br /> Assigned toβ€’ EE0005944 ESCOTTO <br /> SITE ADDRESS: 11555 E JAMESON RD, MANTECA APN : 20806002&03 <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: <br /> I recommend: Approval F-1 Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: <br /> OAU Check Off List: Proofread Report? Correct LAND USE If ? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 Page 2 January 13,2005 <br />