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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010820 <br /> DATE RECEIVED by EHD: March 14,2016 APPL#: PA-1600056 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2690 <br /> ��Y• g LOT LINE ADJUSTMENT(LA) <br /> C Fri, March 18, 2076 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 14525 W VON SOSTEN RD, TRACY APN : 20927017 <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: 1-�— Public Sewer: <br /> Name of Purveyor 1 Name of System <br /> SUMMARY OR COMMENTS: �Ipx <br /> I recommend: Approval Denial Continuance Inspeeto� <br /> ure <br /> El <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: - Date: Z Z <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE ff? <br /> Correct CONDITION(S)? Lo,,ged in LAND USE Book? <br /> EH 0606 Report 117201 March 14,2016 <br />