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rAMkL <br /> NOTE: PULL ALL ITS (Septic, Well, etc.) MAK S FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004905 <br /> DATE RECEIVED by EHD: March 15,2005 APPL#: PA-05-123 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2690 <br /> COMPLETE&SUBMIT BY: ASAP_By' 3 i a) 1 O�5 LOT LINE ADJUSTMENT(LA) <br /> Assigned to • EE0000811 HU Ks <br /> SITE ADDRESS: 900 E WETHERBEE AVE,MANTECA APN: 24104012& a410530 <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 /> ILO/ ��si �P?7('. SYSTEM <br /> I recommend: Approval F-1 Denial 0 Continuance ❑ Inspector: <br /> Signature <br /> Sui)ervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: Z <br /> OA Il Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 2 March 16,2005 <br />