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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011111 <br /> DATE RECEIVED by EHD: October 31,2016 APPL#: QX-840010 <br /> Referral Agency STAFF CONTACT: EVAN WATSON PE : 2656 — <br /> REVISIONS TOACTIONS (RA)_ <br /> COMPLETE & SUBMIT BY: Tue, November 15, 2016 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 29293 S MACARTHUR RD, TRACY APN : 25312012 <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 /> I recommend: Approval Denial Continuance Inspect <br /> tgt tre <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA II Check ff List: Proofread Report? Correct LAND USE fk? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> 1 1 106 06 Report M7201 November 01,2016 <br />