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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011811 <br /> DATE RECEIVED by EHD: June 04,2018 APPL#: PA-1800128 <br /> Referral Agency STAFF CONTACT FRANK GIRARDI PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE &SUBMIT BY: Tue, June 19, 2018 <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 207 E DURHAM FERRY RD,TRACY APN : 25527007 <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: N� Public Sewer: M„�L <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: 6lt,, ( zs4r 6�R � Iee� ay 1 utll a Sv ( + berr Perm f <br /> 6flalzc)ly 540// „ ;s ,f, I <br /> (Le, rnU 6} I`� VT W o �nv -11.II� 2�M�,n 4- u-tn/ <br /> bs-ru LAO if <br /> X119,1eA0el P1 Ci veIIs <br /> 2z_ .l <br /> I recommend: Approval M Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> � <br /> SUPERVISOR/LEAD SENIOR Approval: Date: 6z <br /> A II heck ff Li • Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(s)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 June 05,2018 <br />