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ULL ALL RMITS (Septic, Well, etc,) MAKE COPIES FOR FILE <br /> LAN© US��N§�TE: <br /> PRT <br /> RECORD ID: <br /> DATE RECEIVED >3y EHD: February I2,2010 SU0008099 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN APPL#' PA-1000034 <br /> PE : 2625 <br /> COMPLETE& SUBMIT BY: Wed, February 24, 2010 USE PERMIT-MINOR(UP) <br /> SITE ADDRESS: 11737 W LARCH RD, TRACY Assigned to : EE0004045 TASIOPOULOS <br /> n completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e. sewage 2posal,� <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area Salo water <br /> lensity, location of house, wind direction, etc.... g p p tion <br /> Public Water: <br /> C. Public Sewer: J <br /> Na e of Purveyor ' <br /> iUMMARY OR COMMENTS: l / Name of System <br /> -J <br /> �-3IV <br /> -A PV7 0""l <br /> s <br /> a U 1 <br /> recommend: Approval Denial Continuance <br /> Inspector.==- <br />.0 ervisar/Lead Senior COMMENTS: <br /> [) <br /> () ©� <br /> Q� GIA <br /> L` n A <br /> S <br /> L� <br /> JPERVISOR/LEAD SENIOR Approval: <br /> Date: <br />)A 11 Check Off List: port? <br /> Proofread Re <br /> Logged in Correct LAND USE ? <br /> Correct CONDITION(S)? .LAND USE Book?moi <br /> 06 06 Report 47201 <br /> February 16,2010 <br />