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NOTE: PULL ALLY-KERMITS (Septic, Well, etc.) MAKE,-43PIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500005112 <br /> DATE RECEIVED by EHD: June 20,2005 APPL#: PA-0500338 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2622 <br /> SUBDIVISON-MINOR(NIS) <br /> COMPLETE& SUBMIT BY: Tue, July 5, 2005 <br /> Assigned to : EE0004000 VAN DYNE <br /> SITE ADDRESS: 33101 S GREENWOOD RD, TRACY APN : 25524012 & 13 <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 /> Q <br /> PD <br /> . 2 CI <br /> C . 11 : a3 <br /> / 03 a. v/ p u <br /> Q <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE 4 ? <br /> Correct CONDITION(S)? Logged.in LAND USE Book? - <br /> EH 06 06 Report P7201 June 20,2005 <br />