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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012393 <br /> DATE RECEIVED by EHD: July 03,2019 APPL#: PA-1900143 <br /> Referral Agency STAFF CONTACT. WARNE L.HANSEN PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE&SUBMIT BY: Thu, July 25, 2019 <br /> Assigned to : EE0007380 SHIH <br /> SITE ADDRESS: 26901 S HANSEN RD,TRACY APN : 20911010 <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: Njvg_ Public Sewer: A/,,,,e <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: lo#iu Pry 7_2-r l�f � � <br /> lql4111Q01 P1,1111141 <br /> t Sur 7 `Cie' �.s, ✓l / m� <br /> �, � Gtt fJ� 1d'+ `� '7►?.r"O �/ �"-I"lr"{ �3i /i7',k# �id'�.` ' <br /> r <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 heck Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 July 11,2019 <br />