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NOTE: PULL ALL"ftRMITS (Septic, Well, etc.) MAKE tOPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005760 <br /> DATE RECEIVED by EHD: November 04,2005 APPL#: PA-0400791 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE & SUBMIT BY: Tue, December 6, 2005 <br /> Assigned to : EE0004000 VAN DYNE <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: l� <br /> Q <br /> a <br /> gal n <br /> ! <br /> Ko tibo4-' PWL - oZ Thr° ji� 14 <br /> _ r y f ,J, ,•i G a] <br /> ldyt 0. Gd'haI �! L' <br /> 1kI 11,03a <br /> I recommend: Approval Denial Continuance L] Inspector: <br /> Signature <br /> Su ervisor/Lead Senior COMMENTS: <br /> d <br /> S <br /> Ci3=2 O -Z-- <br /> 01 <br /> I ' o <br /> VISOR/LEAD SENIOR Approval: d _ <br /> ti�oh <br /> Z�' 01 November 04,2005 <br />