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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012180 <br /> DATE RECEIVED by EHD: February 08,2019 APPL#: PA-1900005 <br /> Referral Agency STAFF CONTACT. FRANK GIRARDI PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, February 15, 2019 <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 17590 S KELSO RD,TRACY APN : 25803001,25802021 <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: M/1esp Public Sewer: ,o/ W <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> Sae !zQ s a�,li c w�(c �(a�/a� (�e»+ �3• A <br /> 1JCco des td SS L 1Ti.yk WFL7f clliv— nt.,w, 5QWl/X33 i v1G 7"oe W4j�i�7+� <br /> }�,.,�,.tpF pirro��- 6I2ae�lkSf33 iYi�r .9refZe.�h <br /> Aca W-y ty) /.Z -V 5,eo 91rC41 uGLC dza*-I-.j <br /> I recommend: Approval ❑ Denial El Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> c / <br /> SUPERVISOR/LEAD SENIOR Approval: Date: 6 <br /> Ti <br /> All heck H List, Proofread Report? V Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 February 08,2019 <br />