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NOTE: PULL ALL-C-RMITS (Septic, Well, etc.) MAKE k.—PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005118 <br /> DATE RECEIVED by EHD: June 20,2005 APPL#. PA-0500370 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> )kSV. CAT LINE ADJUSTMENT(LA) <br /> COMPLETE & SUBMIT BY: BY1 <br /> Assigned to : 1 E0004000 VAN DYNE <br /> SITE ADDRESS: 5300 W LEHMAN RD, TRACY APN : 25331024 &42 <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: <br /> I recommend: Approval DenialEl Continuance Inspect <br /> Satm <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: ` <br /> Proofread Report? Correct LAND USE#2 ` <br /> OA 11 Check Off List: v , <br /> Correct CONDITION(S)? Logged in LAND USE Boalc? <br /> lili 06 06 Report 97201 June 20,2005 <br />