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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br />LAND USE REPORT RECORD ID: SU0011915 <br />DATE RECEIVED by EHD: August 27, 2018 <br />Referral Agency STAFF CONTACT. FRANK GIRARDI <br />APPL #: PA -1800173 <br />PE : 2690 <br />LOT LINE ADJUSTMENT (LA) <br />COMPLETE & SUBMIT BY: Fri, August 31, 2018 <br />A d t EE0000034 AHMED <br />SITE ADDRESS: <br />sstgne o . <br />524 E SAINT JORGE AVE, MOUNTAIN HOUSE APN : 26229071,-72,-73,-74 <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: 4oe - <br />SUMMARY OR COMMENTS: <br />Public Sewer:,, <br />Name of Purveyor Name of System <br />I recommend: Approval Denial Continuance Inspector: <br />Signature <br />Supervisor/Lead Senior COMMENTS: o <br />ff <br />SUPERVISOR / LEAD SENIOR Approval: Date: <br />OA 11 Check Off List: Proofread Report? Correct LAND USE # ? <br />Correct CONDITION(S) ? Logged in LAND USE Book? <br />EH 06 06 Report #7201 August 28, 2018 <br />