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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010975 <br /> DATE RECEIVED by EHD: July 15,2016 APPL#: UP-960002 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE&SUBMIT BY: Tue, August 2, 2016 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 13400 W MIDDLE RD,TRACY APN : 21204002 <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: I Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 2-0 <br /> I recommend: Approval © Denial Continuance Inspeetqx- <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> Ly <br /> w 'l ov v� C <br /> 1090 <br /> st PERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book'? <br /> lith li, 'Wh <br />