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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE CL...ES FOR FILE <br /> RECORD ID: SU0008748 <br /> LAND USE REPORT <br /> DATE RECEIVED by EHD: May 09,2011 APPL#: 263 1100074 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: Tue, June 7, 2011 Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 8606 W SCHULTE RD, TRACY APN : 25203001 <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 System <br /> Name of Purveyor <br /> SUMMARY OR COMMENTS: e� '• ""� 1 <br /> .S <br /> Elm Ayzi <br /> [ recommend: Approval Denial Continuance Inspector' ,gnature <br /> 5u ervisor/L <br /> ead Senior COMMENTS: <br /> .O-7 <br /> SUPERVISOR 1 LEAD SENIOR Approval: f � Date: f <br /> - L <br /> May 11,2011 <br /> EH 06 06 Report#7201 <br />