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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009455 <br /> DATE RECEIVED by EHD: December 21,2012 APPL#: UP-000017 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2656 <br /> COMPLETE& SUBMIT BY: Wed, January 16, 2013 REVISIONS TO ACTIONS (RA) <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 29181 S LEHMAN RD, TRACY APN : 25333012 <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 /> 3ensity, location of house, wind direction, etc.... <br /> Public Water: / Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS, <br /> i <br /> 0 n02,21Z jF1 LA4 200 <br /> � c <br /> evil ft/� T 1.nV1�� .dLrn/di� <br /> I recommend: Approval E Denial Continuance El Inspector: ----- <br /> Supervisor/Lead Senior COMMENTS: 1--Si9nature <br /> rN-e- <br /> ..y <br /> A. An addendum to the Soil Suitability Study/Nitrate Loading Study (SR0052610) addressing the <br /> increased number of marketing events and number of attendees shall be required. Charges for <br /> additional review time may be assessed at the current EHD hourly rate. <br /> SUPERVISOR/LEAD SENIOR Approval r e Date: / <br /> OA ItCfiuckfNfll3Y Pr4o �' bACarrecrlAlUS$IJ? <br /> Carreto CC?]�DiTI()N(¢).Y Logged m LAND USt`i Bo0k7 ' <br /> 1106 06 Report 97201 December 21,201: <br />