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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012125 <br /> DATE RECEIVED by EHD: December 26,2018 APPL#: PA-1800244 <br /> Referral Agency STAFF CONTACT. FRANK GIRARDI PE : 2632 <br /> SITE <br /> ��APPR VAL-GENERAL(SA) <br /> COMPLETE & SUBMIT BY: Fri, December 28, 2018 I`n�" (moo <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 3501 W LEHMAN RD,TRACY APN : 25502061 <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: N4"t— Public Sewer: "Vo"d- <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> ,fir sg <br /> S'fe- Jur-,v nt /d/z2 /18 o�&s.r"d damoO ? LAid. lacl'r' 9 <br /> Z'0'"yW- X' see �a A/fiz LCr lei ,1 • , a� 12/z7/zo/g <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> S <br /> SUPERVISOR/LEAD SENIOR Approval: Date: ` <br /> A I h k ff U&7 Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 December 26,2018 <br />