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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011102 <br /> DATE RECEIVED by EHD: October 24,2016 APPL#: PA-1600074 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2633 <br /> <- SI_TE APPROVAL-MAJOR <br /> COMPLETE&SUBMIT BY: Tue, November 15, 2016 <br /> Assigned t . 04085 TASIOPOULOS <br /> to <br /> SITE ADDRESS: 14900 W SCHULTE RD,TRACY APN : 20924034 <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 /> fie <br /> I recommend: Approval Denial Continuance Inspector: i <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> / Z <br /> 1 e %o <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A 1 k Off Li • Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 24,2016 <br />