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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009081 <br /> DATE RECEIVED by EHD: March 01,2012 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN APPL#: PA-1100150 RE <br /> PE : 2631 <br /> COMPLETE&SUBMIT BY: Fri March 16 2012 SITE APPROVAL-MINOR(SA) <br /> SITE ADDRESS: 14700 W SCHULTE RD, TRACY Assigned to : EE0004045 TASIOPOULOS <br /> APN : 20924024 <br /> In completing the Land Use investigation, draw all PublicHealth 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 /> 10 <br /> 44i <br /> G( b✓Csyti ls�i- Z ��� <br /> I recommend: Approval Denial El Continuance Inspe _y <br /> Supervisor/Lead Senior COMMENTS, --` "'" gnature <br /> G� <br /> SUPERVISOR/LEAD SENIOR Approval• -- Date: 7C J L <br /> OA 11 Check Off List Proofread Report" Correct LANI,) <br /> Correct CONDITION(S)" Logge(l in LAND USF Book? <br /> HI 06 06 Report 47201 <br />