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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011688 <br /> DATE RECEIVED by EHD: March 05,2018 APPL#: PA-1800001 <br /> Referral Agency STAFF CONTACT JOHN FUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 230 S STERLING DR, MOUNTAIN HOUSE APN : 25405005,06,07,08, 18 <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: Nna- Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 31,2101 /fetlt /ur.,,.f off fi/s i t <br /> 06arp APN7#S• <br /> �Z/I� St/t V/t� y' C�OSGI.�..�/ JPCs�. Ia A/!] t�¢//�S ou J�iJP�d�'Y.• <br /> I recommend: Approval F71 Denial El Continuance ❑ Inspector: AGS,,, ... <br /> Signature <br /> Sunervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIORApproval: (14 A <br /> (� Date: <br /> I h k ff List, Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 March 06,2018 <br />