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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011137 <br /> DATE RECEIVED by EHD: December 06,2016 APPL#: PA-1600265 <br /> Referral Agency STAFF CONTACT: ALISA GOULART PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, December 20, 2016 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 28801 S LEHMAN RD, TRACY APN : 25333033 <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 Purveyor Name of System <br /> SUMMARY OR COMMENTS: z/3// ��v g �W s <br /> �' <br /> � <br /> p s�.l S <br /> 'J( — 5�.\ -.,,,A . 2 U ,'�J — o ce ivuk r <br /> V . <br /> I recommend: Approval �_ Denial Continuance ❑ Inspec <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> wnu <br /> Za z <br /> b <br /> , o <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List, Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 December 06,2016 <br />