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NOTE: PULL ALL YRMITS (Septic, Well, etc.) MAKE c- PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006542 <br /> DATE RECEIVED by ERD: April 26,2007 APPL#: PA-0700194 Pre-Application <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Wed, May 16, 2007 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 5101 W LOVELY RD, TRACY APN : 25010004 <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: 5 _ <br /> LL <br /> t0o <br /> a 1 a� <br /> w r N/ttk <br /> I recommend: Approval Denial ❑ Continuance Insp <br /> nature <br /> Supervisor/Lead Senior COMMENTS: — <br /> Z 6 S X27// G4 S �l Al e <br /> . Z , a _ <br /> a <br /> !a3 <br /> 7 <br /> ,UPERVISOR/ LEAD SENIOR ApproNal: Date: <br /> OA 11 Check Off List: Proofread Report?__ Correct LAND USE 119— <br /> Correct <br /> 1?Correct CONDITION(S)'? Logged in LAND USE Book? <br /> -H 06 Ob Repon#7201 April 27,2007 <br />