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NOTE: PILL AL[ =RMITS (Septic, Well, etc.) MAKE SPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005702 <br /> DATE RECEIVED by EHD: October 12,2005 APDL#: PA-0500676 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2631 <br /> x <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: de <br /> Assigned to : EE0009649 ESTRADA <br /> SITE ADDRESS: 5555 W GRANT LINE RD, TRACY APN : 21317039 <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 snowing 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 El Denim Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> o -2--- 1 l <br /> 11 : 03 � <br /> 2210 <br /> r <br /> SUPERVISOR/LEAD SENIOR Approval: atG � S <br /> to13CProofreail:Reor s s € <br /> OA ll Check Off:Lrsf <br /> t` !9 <br /> rra�t CONOTJQN o d azr Ill Z7SE f3obfiC <br /> EH 06 06 Report#7201 October 17,2005 <br />