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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008358 <br /> DATE RECEIVED by EHD: July 12,2010 APDL ft: PA-1000034 RE <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE• 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE &SUBMIT BY: Fri, July 23, 2010 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 11737 W LARCH RD, TRACY APN: 21218011 <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: r-- Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 64 <br /> G• <br /> e <br /> ------------ <br /> I recommend: Approval ® Denial Continuance Inspect <br /> F <br /> Supervisor/Lead Senior COMMENTS: g re <br /> 4 <br /> SUPERVISOR/LEAD SENIOR Approval: Dater <br /> C?A all Circk(3ff l sst <br /> NMI, <br /> A'�'. 1'o�1 �ac#1i epoch Yt <br /> � £ Nate.. rrect UND11 it} ) .:.. gggd m i1ZT tIS$ol :... �� <br /> EH 06 06 Report#7201 <br /> July 13,2010 <br />