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NOTE: PULL ALLVERMITS (Septic, Well, etc.) MAKE VOPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005995 <br /> DATE RECEIVED by EHD: May 03,2006 APPL#: PA-0600187 BEVIS] <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE& SUBMIT BY: <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 21356 S NAGLEE RD, TRACY APN : 21205001 <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 /> Cil— Ird ia._- 4;11-1/j 4.1 C o N '2 <br /> i <br /> I recommend: Approval Denial Continuance Inspecto <br /> Signat� <br /> Supervisor/Lead Senior COMMENTS: '/ <br /> { f •.i �'a-. .•:�4. 4,x ( gea /`�'I- <br /> SUPERVISOR/LEAD SENIOR Approval: Date: S /0 <br /> 3H 06 06 Report#7201 May 05,2006 <br />