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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009491 <br /> DATE RECEIVED by EHD: January 18,2013 APPL#: PA-1300003 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE& SUBMIT BY: Wed, January 30, 2013 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 26666 S HANSEN RD, TRACY APN : 20923027 <br /> [n 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: j Public Sewer: <br /> Name of Purveyor r Name of System <br /> SUMMARY OR COMMENTS:` /5 A? 5-/'/c ✓15 rd L l�/�57/Yv Wd /S <br /> (41L-Gc2s . yu <br /> �'�Gt'I/ti( .GdyZ6�T-LryvY Gi ,�otG�� <br /> I recommend: Approval Denial Continuance Inspec � <br /> e <br /> iRnature <br /> Supervisor/Lead Senior COMMENTS: <br /> e&' <br /> 4) <br /> 22:az <br /> r )/yZ�of <br /> (�) •,, (&) SGS dear-�zs l��rt�—rL <br /> Z) [s2. o2 <br /> r.) ]szi e3 <br /> f) lst:n`� 11 <br /> � � �[�0� lq/ ' • �-SZ/b 6/J LOIn. SUN�<g'l�llF��✓!� <br /> SUPERVISOR/LEAD SENIOR Approval: Date: Z <br /> OA 11 Check ON List: Proofread Report? Correct LAND IAF#? <br /> Correct CONDIf1ON(S)? Logged in LAND USFBook? <br /> January22.201- <br />