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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009625 <br /> DATE RECEIVED by EHD: April 19,2013 APPL#: PA-1300054 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, May 7, 2013 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 26781 S BANTA RD,TRACY APN: 25210001 02 <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 /> 2 <br /> u - <br /> LP <br /> I v <br /> , J <br /> istiviszv!� <br /> s - <br /> 1 recommend: Approval Denial Continuance InvLk <br /> =� <br /> - - natpre <br /> SucervisodLead Senior COMMENTS: <br /> Y <br /> It : l(Rt {q ��, �l✓11� e� {�k� L�1t <br /> S 2) t l ' Qayl CLZ <br /> c 4) <br /> 2.1 . esZ f rtct-69A RAA(oY_ AA a ,n <br /> D 5 t v3 <br /> b) 2Z:a -t 444� t ,r0 q eMa.•..I�fii <br /> SUPERVISOR/ LEAD SENIOR Approval: n Date: <br /> Proofread Rc ort? Correct LAND USE4 ? �` ^ <br /> OA 11 Check Off List: p <br /> Correct CONDI I10N(S)? Logged in LAND USE Book? <br /> B 06 06 Report 47201 <br />