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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> .,AND USE REPORT RECORD ID: SU0008138 <br /> DATE RECEIVED by EHD: January 15,2010 APPL#: PA-0800291 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2660 <br /> COMPLETE& SUBMIT BY: Tue, February 2, 2010 DEVIATION(DV) <br /> SITE ADDRESS: 22551 S SEVENTH ST, TRACY Assigned to ; El✓0004045 TASIOPOUL05 <br /> APN : 25001401 <br /> n completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> ,applies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> lensity, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> SUMMARY OR COMMENTS:Name of Purveyor Name of System <br /> recommend: Approval Denial Continuance Inspector: <br /> ;u ervisor/Lead Senior COMMENTS:� Signature <br /> r <br /> UPERVISOR/LEAD SENIOR Approval: <br /> —r-�' 111:4 _ <br /> s <br /> OA 1!Check Off lo <br /> Lrst: Correct CONDITIO eport� �— Carr c£ °SAND LJSl;:::#v <br /> Pro ead R <br /> n . N. 7' Lagged�in,L A [7SE Bo <br /> H 06 06 Report 97201 <br /> March 10,2010 <br />