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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011062 <br /> DATE RECEIVED by EHD: September 19,2016 APPL#: PA-1600202 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE& SUBMIT BY: Tue, October 4, 2 6 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 18344 S BACHETTI RD, TRACY APN : 21211008 <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 /> r Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: 1vAJz� � C--? ;,f- �, �� Z wV� <br /> I recommend: Approval E� Denial Continuance ❑ Inspector: <br /> gnature <br /> Supervisor/Lead Senior COMMENTS: / <br /> G'E) lSl =05 <br /> -72 1 OZ <br /> V. *J 2Z RO<C - - Tj c�rti l� �v - <br /> ,r%4 L <br /> �)!Z2 <br /> SUPERVISOR/LEAD SENIOR Approval:. t Date: <br /> All heck List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 57201 September 20,2016 <br />