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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011942 <br /> DATE RECEIVED by EHD: October 15,2018 APPL#: PA-1800214 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE&SUBMIT BY: Thu, November 1, 2018 <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 16895 W GRANT LINE RD, TRACY APN : 20914007 <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: nyPublic Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 3 S*44'( P.ern '-fs e.^ f-'A4- . <br /> NO NLt( Pfrml'} nrrr o(a taage . [/ <br /> 1e-V33/lt 6#Ve ✓i3r f• Apia 1444e44. C'�/1kel 4DA/k r t <br /> upwj a slled abodt ji^c &4Ar`i x ,,ta om sr f!• 14yo W-y to H0,4 wv .,el w,Z-Z 6e <br /> �Omrvt�+v�i! Off► <br /> ZY:02 /'e� Lt:ey Loa oz <br /> I recommend: Approval 2�' Denial ❑ Continuance ❑ Inspector:No j_p_ai <br /> Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> All h k ff List: Proofread Report? V Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 October 16,2018 <br />