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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010410 <br /> DATE RECEIVED by EHD: March 06,2015 APPL#: PA-1500024 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2690 <br /> ;,,` LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: ASIA <br /> r By Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 24551 S KASSON RD, TRACY APN : 23911014 15 16 23918004 05 <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 /> Az 'ltrc <br /> I recommend: Approval Denial Continuance Ins r: <br /> j� ignature <br /> Supervisor/Lead Senior COMMENTS: ;.-- <br /> �,Pl 11 G6Lk� <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> /1k Off Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 <br /> March 06,2015 <br />