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NOTE: PULL ALLTERMITS (Septic, Well, etc.) MAKE. JPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005041 <br /> DATE RECEIVED by EHD: May 10,2005 APPL#: PA-0500269 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, June 7, 2005 <br /> Assigned to : EE0004000 VAN DYNE <br /> SITE ADDRESS: 25521 S GATEWAY BLVD, TRACY APN : 20942023 <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 /> I recommend: Approval n Denial ContinuanceEl <br /> Inspector: <br /> T Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> V <br /> C-- D : 0 S <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 13,2005 <br />