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•tri �,.� _ <br /> NOTE: PULL ALL Rte,,,-RMITS (Septic, Well, etc.) MAKE t_,,, IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004529 <br /> DATE RECEIVED by EHD: June 30,2004 APPL#: PA-04-351 Pre-Application <br /> Referral Agency STAFF CONTACT: LEANNE MUELLER PE : 2689 <br /> GEN PLAN AMENDMENT 5-9.9 acres(GP) <br /> COMPLETE&SUBMIT BY: Wed, July 14, 2004 Assigned to : EE0000811 HUGGINS <br /> SITE ADDRESS: 3703 W GRANT LINE RD, TRACY APN : 21327013& 14 <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 Denial © Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> clz 11v <br /> V OF <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA'H Check Off LI Proofread Report. Cgrrect LA PD VSE#? <br /> a <br /> CorrectCONDITION(S)? ,_ - Logged m LAND USE Book� <br /> EH 06 06 Report#7201 Page 5 July 07,2004 <br />