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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009374 <br /> DATE RECEIVED by EHD: October 05,2012 APPL#: PA-1200184 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> h OR LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: ' <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 14950 W SCHULTE RD,TRACY APN: 20924027 32 33 <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: � Oto <br /> LG <br /> 'H <br /> I recommend: Approval Denial ❑ Continuance Inspecto <br /> Si a4 e <br /> Supervisor/Lead Senior COMMENTS: <br /> iI.TER V ISOR/ LEAD SENIOR Approval: I Date: <br /> OA It Check Off List: Proofread Report? Correct LAND USE ? <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br />