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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012181 <br /> DATE RECEIVED by EHD: February 14,2019 APPL#: PA-1900006 <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 : 25803001,25802023,25802025 <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: #&So Public Sewer: Vo?rsD <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 6te &46, "4 vellS artsQ ;ej)4Y peyv,,fS• <br /> Yrdsl3� cla��v� )I&JIOL .x)t s-o;~l 4, .nc <br /> C�►urt✓f detfj'r S��� 4 XY4 Atet .rr�ia�'. <br /> S/Zuo �li��dpo @i->I:- ,../i,.s-.�U,�>r .-eta �-uit 0+���y� 6��',•1Y <br /> I recommend: Approval El Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A II Check S Li : Proofread Report? I Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 February 14,2019 <br />