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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD H): SU0009764 <br /> DATE RECEIVED by EHD: September 19,2013 APPL#: PA-1300100 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, October 8, 2013 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 6351 W DELTA AVE, TRACY APN : 21310030 <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: <A� yA3 <br /> OG `JoJI Sin d iN i/_h e/aritlS�.. <br /> // �S SwYJ.a-�,/t�.a�sr..__ r+.4+y7 ���"�f�F�.✓Yn d.., <br /> //.'d 3(g) <br /> ZZ•. <br /> I recommend: Approval ® DenialEl Continuance Inspecto ''� <br /> i S' re <br /> Sunervisor/Lead Senior <br /> 11r COMMENTS: <br /> (� -Mf�.W�F. S . <br /> ny • <br /> L IrL g.l-c.>w p a ru.k IV-"j^a <br /> -cc - r <br /> r.eSki C 1? t rv.-- <br /> O ; A, S.l..✓wt.C. �i5 .a�..++L. S!CfLµ— L\- TV.& <br /> IDc5 ('.cuwatit�_er <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> 1 (0� . � _ a ..�qt ikr '? <br /> EH 06 06 Report 47201 September 19,201' <br />