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NOTE: PULL ALL RMITS (Septic, Well, etc.) MAKE PIES FOR FILE <br /> LAND W5E REPORT RECORD ID: S00007079 <br /> DATE RECEIVED by EHD: March 21,2008 APPL#: PA-0800083 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2622 <br /> SUBDIVISON-MINOR(MS) . <br /> COMPLETE &SUBMIT BY: Tue, April 15, 2008 <br /> Assigned to : EE0004045 TASIOPOULOS _. <br /> SITE ADDRESS: 24583 S KASSON RD, TRACY APN : 23911015 <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/Btlrveyor Name of System <br /> SUMMARY OR COMMENTS: 2)/ 1 / ��n � N1 oI�-Ln: <br /> r y <br /> Q A— <br /> o �! ',1 <br /> ZZ�OZ — 'Fil G X27 vwt. . <br /> I recommend: Approval Denial Continuance InVe-c r: _ <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> og <br /> 20 d- a,. ,f 1. n teem rry <br /> ern fyC 1Z 2! 07 <br /> 1 <br /> 2,7,'o ( d�,�fit - �Dal) �Q ,4 <br /> (�7 , _ <br /> rL <br /> SUPERVISOR / LEAD SENIOR Approial: <br /> OA 11 Check Off List: Proofread Report.' Correct LAND UST; <br /> Correct CONDI I ION(Sl" Log ed io LAND OSr Book? <br /> EH 06 06 Report 07201 March 21,2008 <br />