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aOD, > Q a z' JH <br /> NOTE: PULL ALL PERMIRg (SEPTIC, WELL, ETC...) MAZE COPIES FOR FILE <br /> LAND USE REPORT APP#: PA-04-137 (MS) <br /> EM)RECEIVED.APP.REFERRAL: 3/31/04 COMPLETE & SUBMIT BY: 04/20/04 <br /> DAT[ DATE <br /> ATTN:_JENNIFER JOLLEY <br /> SITE ADDRESS: 15000 WEST SCHULTE ROAD, TRACY <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw a completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: IL-() Public sewage: <br /> SUMMARY OR COMMENTS: <br /> C� <br /> 44 <br /> ALL 1 - /� ✓l.i f/17� % �4Fit.�a- ' rl- /L� �s .Dt� .. ' .(it.i <br /> 1 recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> Q <br /> C . ;ta : GZ- <br /> OF <br /> SUPERVISOR/ AD SEN,JOR APPROVAL: <br /> I4-[v , WIbrOA <br /> Q- �+, Cj ; it 2e/evGl�iOuGE. <br /> EH o6 06 Ream `o HECK OFF LIST: Proofread report? Correct LAND USE#? <br /> G /I -O3 '/, : _ Correct CONDITION(S)? Logged in LAND USE BOOK? <br />