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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011533 <br /> DATE RECEIVED by EHD: October 11,2017 APPL#: PA-1700233 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2636 <br /> IMPROVEMENT PLAN-MAJOR(IP) <br /> COMPLETE&SUBMIT BY: Wed, October 18, 2017 <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 25451 MOUNTAIN HOUSE PKWY,TRACY APN: 20944013, 14, 10 <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 ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> k fl List., Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? P,.:., <br /> EH 06 06 Report 47201 October 12,2017 <br />