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NOTE: PULL Al. PkRMITS (Septic, Well, etc.) MAKE 6PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004693 <br /> DATE RECEIVED by EHD: November 04,2004 APPL#: PA-04-662 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> j nn LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: j N U <br /> Assigned to : EE0009374 GODINHO <br /> SITE ADDRESS: 6551 W ARBOR AVE, TRACY APN : 21308022,27,& <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 /> AA <br /> .09 <br /> I recommend: Approval ❑ Denial Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: <br /> Proofread Re rt`� <br /> - CpneCt'I MDSE <br /> [7A Off #-? <br /> !1 Check fist.; � <br /> Correct CONDITION(S)? Logged..in LAND LJSE Book? <br /> EH 06 06 Report 47201 Page 1 . November 15,2004 <br />