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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012397 <br /> DATE RECEIVED by EHD: June 17,2019 APPL#: PA-1900127 <br /> Referral Agency STAFF CONTACT' ALISA GOULART PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Thu, July 11, 2019 Z 1'( go.33 <br /> Assigned to : EE0009825 AFONSKAIA � <br /> SITE ADDRESS: 16151 W GRANT LINE RD, TRACY APN : 20919/033 <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: znOgmi � f 5 d:!�SO�:: �� D '. <br /> YG� asSots•`. �� �le� ►,r� ��.. /�a�� 11Ut�Llvvr� I�cJdJ�' �/rlu� �i cis s�j� .�� s �--. <br /> c <br /> I recommend: Approval F-1 Denial 1-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II heck Off List: Proofread Report? Correct LAND USE#'? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 June 28,2019 <br />