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NOTE: PULL ALL ,-ERMITS (Septic, Well, etc.) MAKE WPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008926 <br /> DATE RECEIVED by EHD: October I L 2011 APPL#: PA-1100180 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, November 1, 2011 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 14700 SCHULTE RD,TRACY APN : 20924024 <br /> [n 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: ��/� / G D� /10 /:5t54t4� �! � <br /> il✓1 Vuvt TL2✓✓J�� <br /> r <br /> I recommend: Approval B Denial Continuance Inspec <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> � +} ) 22 . c72 <br /> ND7F <br /> SUPERVISOR/ LEAD SENIOR Approval: 1 7� �` `-- Date <br /> OA 11 Check Off List; Proofread Report? - Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Hook? <br /> EH 06 06 Report#7201 <br /> October 11,2011 <br />