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RUSH <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011117 <br /> DATE RECEIVED by EHD: November 14,2016 APPL#: PA-1600255 <br /> Referral Agency STAFF CONTACT: ALISA GOULART PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: Fri, November 11, 2016 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 12201 W LAMMERS RD, TRACY APN : 21210014 <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: 44)` <br /> I Ir <br /> Irecommend: Approval Denial F—] Continuance Inspector: <br /> Signature <br /> Sunervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval:-/ Z Date: / <br /> OA It Check 0ff List: Proofread Report? Correct LAND USE#? <br /> Correct CONDrfION(S)? Logged in LAND USE Book? <br /> EB 06 06 Report#7201 A""nll r 1, 2n 16 <br />