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NOTE: PULL ALL t...,RMITS (Septic, Well, etc.) MAKE u-mSPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005285 <br /> DATE RECEIVED by EHD: August 09,2005 APPL#: PA-0500470 Pre-Application <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE& SUBMIT BY: Wed, August 31, 2005 <br /> Assigned to : EE0004000 VAN DYNE <br /> SITE ADDRESS: 21301 S REEVE RD, TRACY APN : 20918002 <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 /> 7 <br /> I recommend: Approval Denial F-1 Continuance Inspector: . , <br /> Signature <br /> S_ upervisor/Lead Senior COMMENTS: <br /> S' <br /> .fie. c <br /> ')L <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: Q <br /> OA JI Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? "�` Logged in LAND USE Book? <br /> Ell 06 06 Report 47201 I/,ch3 <br /> August 11,2005 <br />