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NOTE: PULL ALL ORMITS (Septic, Well, etc.) MAKE eOPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004636 <br /> DATE RECEIVED by EHD: September 21,2004 APPL#: PM-79-192 (REV) <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES PE : 2656 <br /> REVISIONS TO ACTIONS-STAFF <br /> COMPLETE& SUBMIT BY: REVIEW ADPL(SR) <br /> Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 8224 W LINNE RD, TRACY APN : 25322029 <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 ❑ Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 499* <br /> Ga r <br /> WO <br /> 432 <br /> _a� a <br /> SUPERVISOR/LEAD SENIOR Approval: "" ° > Date: <br /> OA II Check Off List: Proofread Report? " Corseci LAND'USE#? <br /> Correct CONDITION(S)?= Logged' LAND USE Book? <br /> LH 06 1)6 Rrpori N7'llI Page I September 29,2004 <br />