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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012347 <br /> DATE RECEIVED by EHD: May 28,2019 APPL th PA-1900085 <br /> Referral Agency STAFF CONTACT PE : 2627 <br /> USE PERMIT-MAJOR(UP) <br /> COMPLETE&SUBMIT BY: Thu, June 13, 2019 Assigned to : EE0009825 AFONSKAtA <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: lypm Public Sewer: ��.� <br /> e of System <br /> Name of Purveyor ,y/ p Nam <br /> SUMMARY ORCOMMENTS: D� CO rpNr'Q1,%. /rfl G / 1 `S 4 G�(� U l( <br /> rSu1Q <br /> r �,,�! ,u l� o✓e vpcaW <br /> to <br /> : � / L ru/� r <br /> � csT br ` 404 S G f 1 L a Cok f' — lt.�� n <br /> I recomm nd: Approval H Denial F] Continuance El nspector: <br /> Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check List, Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S) Logged u�LAND USE Book? <br /> I'H 06 06 Report 97201 May 30,2019 <br />