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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011926 <br /> DATE RECEIVED by EHD: September 20,2018 APPL#: PA-0600161 <br /> Referral Agency STAFF CONTACT FRANK GIRARDI PE : 2611 <br /> SUBDIVISION', MAJOR(SU) <br /> COMPLETE&SUBMIT BY: Wed, September 26, 2018 TrM �C4sioy) <br /> Assigned to : EE0000034 AHM D <br /> SITE ADDRESS: 22261 S MOUNTAIN HOUSE PKWY,TRACY APN : 20906008 <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: 44ffeso Public Sewer: 44 Af,- <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> /110 ,netts u/ <br /> ld�i/lid F' � � J'� t` • patio-CeC Anosfll burres w•7fti ov eoro.K de'41S• <br /> -Srom� *rad•'N.V tubl of myI brr*_ ML(N.f er- Co-ranE Lf'. ,4 te. -J+ , <br /> A too Adv P&cL cwkx14r , 6go/Mt 42vr. e4vrt a�A 5b. 4 -}!u&IL <br /> SLwa✓'i Lrz<• <br /> (wn-e�fS• e,X <br /> t s:ol <br /> I recommend: Approval zDenial ❑ Continuance ❑ Inspector: p <br /> Signature <br /> Sunervisor/Lead Senior COMMENTS: <br /> n 3 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 heck ff List, Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 21,2018 <br />