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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011689 <br /> DATE RECEIVED by EHD: March 05,2018 APPL#: PA-1800002 <br /> Referral Agency STAFF CONTACT. JOHN FUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 825 S STERLING DR, MOUNTAIN HOUSE APN : 25405011,09, 10, 12,13,14, 15 <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: Mig= Public Sewer: ,/,A94-1 <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 3�izf/a( v ie iw�e�✓ Ae) Vellf of 'SeP4� a 41e fr' i fly a6a<� <br /> Irecommend: Approval10 Denial ❑ Continuance ❑ Inspector: /lJoae¢..,►g� 1 <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> All h k ff Li • Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> El 106 06 Report#7201 March 06,2018 <br />