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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009626 <br /> DATE RECEIVED by EHD: April 25,2013 APPL#: PA-1300040 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, May 21, 2013 <br /> Assigned to: EE0004045 TASIOPOOLOS <br /> SITE ADDRESS: 27150 S HANSEN RD, TRACY APN : 25104013 <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 /> 3ensity, location of house, wind direction, etc.... <br /> Public Water: , Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: L//?6 ) A 0 w /5 <br /> C JA- <br /> I recommend: Approval Denial El Continuance El Inspect <br /> Sunervisor/Lead Senior COMMENTS: <br /> b� <br /> Z' d S <br /> SUPERVISOR I LEAD SENIOR Approval: Date: Z �� <br /> OA 11 Check Off List: ProoGead Repon? Correct LAND USE{! <br /> Correct CONDITION(S)? Loged in LAND USE Book? <br /> t110606 Report 47201 <br />