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NOTE: PULL AL,, aERMITS (Septic, Well, etc.) MAKE .;,PIES FOR FILE' <br /> LAND USE REPORT RECORD ID: SU0008844 <br /> DATE RECEIVED by EHD: August 01,2011 APPL#: PA-1100134 <br /> Referral Agency STAFF CONTACT: JOHN L FUNDERBURG PE ; 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: A 8 A R BY: <br /> Assigned to . EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 14631 S JACK TONE RD, MANTECA APN : 20115009 10 17 <br /> [n completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> supplies, etc... . Where recess <br /> pp ) ary, 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 /> e <br /> �6 a42nti <br /> � 5 <br /> 3 <br /> 1 recommend: Approval Denial Continuance Inspecto •��` <br /> ig a>rur � <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISO /LEASENIOR Al <br /> .,,. R D pprova <br /> Date <br /> QA lI CheCk Off 15f e I?r�J� l R�pQkCh r ', ,E ;' ,c�€ � ..(.... - <br /> sa �F, :.�`; w�"¢•-�a ,':fi...:`"YQ1X'CCt:,I. fl�47i✓`,€�� <br /> -..., v�sree...3 .A��r$' .,� � s <br /> 94ITeCtQ31TT(��I , ;i ,= :. k: ?:;:•. :,. � a .: i g . <br /> �.s ��i� A.Lit ��'FI7�A� ,J8 s$�,;E�.�� <br /> > .• <br /> _. <br /> EH 06 06 Report 47201 <br /> August 01,201 l <br /> E <br /> 3 <br />