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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010589 <br /> DATE RECEIVED by EHD: August 03,2015 APPL#: PA-0500145 RA <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE&SUBMIT BY: Mon, August 24, 2015 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 19300 W GRANT LINE RD, TRACY APN : NUMEROUS <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: 42 Public Sewer: <br /> Name of Purveyor Name of System <br /> UMMARY OR C MMENTS: <br /> I recommend: Approval�DenialEl Continuance Inspector• <br /> ................. i�nature <br /> SullervisordLead Senior COMMENTS: <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: <br /> QA 11 Cho Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 10,20 t 5 <br />