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NOTE: PULL ALL-,ERMITS (Septic, Well, etc.) MAK - <br /> k <br /> --IiPIES FOR FILE <br /> LAND USE REPORT <br /> DATE RECEIVED by EHD: May 20,2011 RECORD ID: SU0008759 <br /> Referral Agency STAFF CONTACT: MO HATEF APPL#: PA-1100062 <br /> PE : 2631 <br /> COMPLETE&SUBMIT BY: Tue, June 7, 2011 SITE APPROVAL-MINOR(SA) <br /> SITE ADDRESS: 17965 S PARADISE AVE, TRACY Assigned to: EE0004045 TASIOPOULOS <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit i.e. sewage2posal,0 <br /> supplies, etc..,). Where necessary, ort an attached piece of plain paper, draw complete map of areashowiin Salo Water <br /> density, location of house, wind direction, etc.... g Population <br /> Public Water: <br /> Public Sewer: � <br /> Name of Purveyor <br /> ^ SUMMARY OR COMMENTS: G 7 , ��C� , f Name of System <br /> 1 <br /> Ib Q <br /> 0 _ <br /> I recommend: Approval enial _ <br /> Continuance � Inspector• <br /> Supervisor/Lead Senior COMMENTS: <br /> grra= <br /> t-71 <br /> to <br /> C <br /> w <br /> SUPERVISOR/LEAD SENIOR Approval• <br /> �. �•� _ w,;�� �= Cortc�t CQhf�L7'I�N �. �' � ;� �-� rC�ctAT�ID�7SE#'� ' ° -� �, z� � ,�.; <br />�H 06 06 Report 47201 <br /> May 23,2011 <br />