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' NOTE: PULL ALL'k,-RMITS (Septic, Well, etc.) MAKE L.-AES FOR FILE <br /> LAND USE REPORT 0 RECORD ID: SU0006247 SCAMD <br /> J <br /> DATE RECEIVED by EHD: September 12,2006 APPL#: PA-0400501 <br /> Referral Agency STAFF CONTACT, ANTONIO SALCEDO PE : 2690 <br /> k I� LOT LLNE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Tue, September 12, 2006 ��g-ek(LA)��B�t/ <br /> it Assigned to : EE0004045 TASIOPOULOS <br /> ,; <br /> ` SITE ADDRESS: 14741 W BETHANY RD, TRACY APN : 20930003 <br /> 16. <br /> k 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 /> —Xz <br /> 426 —W <br /> d ` ttGrc� <br /> IA- <br /> jA <br /> If . <br /> ii <br /> E <br /> k it <br /> I recommend: Approval ®' Denial El Continuance Inspec <br /> Supervisor/Lead Senior COMMENTS: <br /> ii <br /> II <br /> �M <br /> II <br /> i� <br /> iM <br /> II <br /> I� <br /> �I <br /> F SUPERVISOR 1 LEAD SENIOR�Approval Date <br /> tOa£llhck�b( V., � N # - <br /> n]fLrsf* � .. . <br /> .7, <br /> r� <br /> 1 AT+iiSU$E BBttk 4 <br /> i <br /> EH 06 06 Report#7201 September 13,2006 <br /> I <br /> II <br />