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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006687 <br /> DATE RECEIVED by EHD: August 13,2007 APPL#: PA-0700231 <br /> Referral Agency STAFF CONTACT: CHANDLER MARTIN PE : 2637 <br /> SPECIAL PURPOSE PLAN(PP) <br /> COMPLETE& SUBMIT BY: Thu, August 23, 2007 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 18150 S KELSO RD, TRACY APN : 20903005 <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 Pur eyor Name of System <br /> SUMMARY OR COMMENTS: �� <br /> JyY® - VVVVVV333��1 VVV t��cNt, cru,_ r w��.Uz. <br /> Z <br /> r- V,) <br /> I recommend: Approval' Denial Continuance Inspe <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: - -- <br /> ERVISOR/LEAD SENIOR Approval: — `- Date: F <br /> It Check Off List: Proofread Reports ' Correct LAND USE 4? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> q6 06 Report 47201 <br /> August 15,2007 <br />