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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012340 <br /> DATE RECEIVED by EHD: June 10,2019 APPL#: PA-1900112 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: Tue, June 11, 2019 <br /> Assigned to : EE0009825 AFONSKAIA <br /> SITE ADDRESS: 1000 E CRITCHETT AVE,TRACY APN: 24111033 <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: 1110VLQ Public Sewer: ADS_ <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS, F,-J, fie✓2>�.� �I /�/ I ���� ��1 / �_1!. t� ��w 51r UCS I �C L�OYI. �✓2 I SoI }yl y✓ Ied C of k�k5t- <br /> VtQ�'E Yb1�S� SZ�•�5 <br /> c, l S- Acta d'� OGrs+Qit <br /> — /Vavfk2at riPi'9�t �„r �no� Well o-C Ape- <br /> I recommend: Approval ❑ Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A II h k ff List: Proofread Report? VCorrect LAND USE#? r <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> FH 06 06 Report#7201 June ll,2019 <br />