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NOTE: PULL AL_6,,,,ERMITS (Septic, Well, etc.) MAKLOPIES FOR FILE <br /> LAND USE REPORT RECORD 1D: SU0007558 <br /> DATE RECEIVED by ERD: January 30,2009 APPL#: PA-0900008 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Wed, February 11, 2009 <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 71 <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: r--� Public Sewer: r� <br /> Name of Puryeyor Name of System <br /> SUMMARYORCOMMENTS: IA !PirD 4M= <br /> 1 ' <br /> • ✓[ o\ V -SlAc" 4�- <br /> 0 Awt,(� ctarv4u� <br /> I recommend: Approval Denial Continuance El Inspe <br /> at <br /> Supervisor/Lead Senior COMMENTS: <br /> Z-7 Z <br /> • v <br /> ERVISOR i LI,AD SGIV IC)R Approval: Date:. t <br /> -- 11 Check Off List: Proofread Report?. o—met LA — — - <br /> Correct CONDITION(S)? Logeed in I AND PSIS Book? <br /> l l bh Ur Izcpon ' l <br /> January 30,2009 <br />