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NOTE: PULL ALL-"RMITS (Septic, Well, etc.) MAKE-,h,,0PIE3 FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004790 <br /> DATE RECEIVED by E14D: January 18,2005 APPL#: PA-04-791(PA) Pre-Application <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Wed, January 2`, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 23403 S HANSEN RD, TRACY APN : 20913029 <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 /> 1,16 Fii/ eAe—'X:T�] �e2 rsflS�7c/�yyLEaS_ <br /> 7/�GIX ?��Z2� /G 5f�.57cJy) qh C4e—�'l3iatL2?0//I11(Z(iz2c"O&LI��IL!/G Ba✓ <br /> 2c" : AZ / :D/ G s MIyi <br /> I recommend: Approval ❑� Denial Continuan e F-1 Inspector: <br /> Gr�117� �'t!o�rrlc'4ILe�[Zc�43(jei:..3 G,gf� �) fy/��ZyLliFj. Signature <br /> Sue isor/Lead Senior COMMENTS: <br /> o <br /> s <br /> 0 <br /> �VwCGW L <br /> f �a d7.�Pit, acat,0 <br /> c�-r1L. Wn.Q_ eEhtis..�c�i-•6 AR�rir.+� �J '�/f] ,l7 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: 3 yOt/ <br /> OA 11 Check Off List Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Pave 8 January 21,2005 <br />