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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012027 <br /> DATE RECEIVED by EHD: October 18,2018 APPL#: PA-1800266 <br /> Referral Agency STAFF CONTACT. FRANK GIRARDI PE : 2633 <br /> SITE APPROVAL-MAJOR(SA) <br /> COMPLETE& SUBMIT BY: Thu, November 15, 2018 Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 3590 W LEHMAN RD, TRACY APN : 25504020 <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: Atf?v- Public Sewer: �yy,.q, <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> le/Zi 114r so'toL u.��t t O.v. �/1 rkf� ant a "K , /K! , ssrcS• <br /> c u,-rM,v","ts! '1� <br /> 1/:03 <br /> Za:.� 3rtil:ot" <br /> //:lir Z3:01 <br /> Zc ;ot <br /> I recommend: Approval F-1 Denial ❑ Continuance ❑ Inspector: , ': p� t oc- / - <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 3/ l6 <br /> SUPERVISOR/ LEAD SENIOR Approval: <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 October 18,2018 <br />