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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008767 <br /> DATE RECEIVED by EHD: May 26,2011 APPL#: PA-1100088 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: (j ��! <br /> Assigned to : RE0004045 TASIOPOULOS <br /> SITE ADDRESS: 34770 S KOSTER , TRACY APN : 25517001 <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, locatiou of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> V <br /> I recommend: Approval Denial Continuance ❑ Ins <br /> Su ervisor/Lead Senior COMMENTS: <br /> r <br /> SUPERVISOR/LEAD SENIOR Approval: <br /> DA5IfC �P <br /> heciSDffLFsf r4 freadReport?' r orrect AN17Its <br /> 'ar?33� `" <br /> Mit <br /> Aq <br /> �,_" r• ��-� `loF,ged.�LAI!�F7 t,15�Bbn�q �.. � � .�� <br /> „gyg:g y <br /> EH 06 06 Report 117201 <br /> May 27,2011 <br />