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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011526 <br /> DATE RECEIVED by EHD: October 05,2017 APPL#: PA-1700231 <br /> Referral Agency STAFF CONTACT. ALISA GOULART PE : 2666 <br /> REZONING 5+acres(ZR) <br /> COMPLETE&SUBMIT BY: Wed, October 25, 2017 <br /> Assigned to: EE0000034 AHMED <br /> SITE ADDRESS: 5022 W GRANT LINE AD, TRACY APN : 25009009 <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 F-1 Denial 7 Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> _ 1P�f1 <br /> i <br /> SUPERVISOR/LEAD SENIOR Approval: Date: Z�L 7 <br /> OA 1 ff List7 Proofread Report? - - Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> FH 06 06 Report#7201 October 09,2017 <br />