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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010155 <br /> DATE RECEIVED by EHD: July 25,2014 APPL#: PA-1400147 <br /> Referral Agency STAFF CONTACT: JOH V WDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE &SUBMIT BY: <br /> Assigned to : EE0004045 TASIOPQiJLO 26-- <br /> SITE <br /> SITE ADDRESS: 960 S WALCOTT AVE, MOUNTAIN HOUSE APN x540s041--4 y� <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: Lam, <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 1r►� / � / 1 KGs+ <br /> I recommend: Approval ® Denial Continuance Inspector: <br /> Supervisor/Lead Senior COMMENTS: <br /> 66 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> , 9 <br /> r <br /> Uil <br /> J <br /> EH 06 06 Report#7201 July 25,2014 <br />