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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013720 <br /> DATE RECEIVED by EHD: October 23,2020 APPL#: PA-2000178 <br /> Referral Agency STAFF CONTACT KELSEY GUNTER PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, October 30, 2020 <br /> Assigned to: EE0007380 SHIN <br /> SITE ADDRESS: 7001 E SOUTHLAND RD,MANTECA APN: 21807001,-02 <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: ,,!- Z Public Sewer: IV4,- ° <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> -f1/01y' Z/g. 070 -oI aatra ?�/ E Sa• jea !--d' A&"41ee-'a <br /> l <br /> Z119- 070- 02 6W,,Q ,$ 72!s7 E, ew. 7`;,./,,s <br /> I recommend: Approval ❑ Denial F-1 Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A ❑ e k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 28,2020 <br />