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NOTE: PULL ALL'PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008549 <br /> DATE RECEIVED by EHD: December 17,2010 APPL#: PA-1000278 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2640 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 18988 N LOWER SACRAMENTO RD,WOODBRIDGE APN : 01524004 05 06 <br /> [n 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 /> - <br /> 0 <br /> 1 recommend: Approval ` Denial -0. Continuance Inspegq <br /> nature <br /> Supervisor/Lead Senior COMMENTS: <br /> ey� <br /> SUPERVISOR/LEAD SENIOR Approval: Date: I <br /> OA 11"Check`Dff L rsf 1'roo£read#teport7 '' :< s <br /> X-13 Correct.CQNDIT�QI (5)7 <br /> EH 06 06 Report#7201 December 20,2010 <br />