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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009453 <br /> DATE RECEIVED by EHD: December 21,2012 APPL#: PA-1200246 <br /> Referral Agency STAFF CONTACT: RIC_C 9,[2IFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 2800 W N ANCUSO RD,TRACY APN: 23905025 26 <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: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: _ / <br /> PPe- <br /> 4t� w // <br /> 1 <br /> 4 04C Al <br /> 1 recommend: Approval ® Denial El Continuance Inspecto . <br /> ignature <br /> Supervisor/Lead Senior C^O/MMENTS:� <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> _OA II Check Off List: Proofread Report'? Correct LAND USE k 7 <br /> Correct CONDITION(S)? Logged in LAND USE Book'? <br /> EH 06 06 Report 47201 December 21,2012 <br />