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l Ai <br /> hIOTE: PULL A ERMITS (Septic, Well, etc.) MA . .PIES FOR FILE <br /> LA14 I USE l;' PORT <br /> RECORD SLr0()n 'I 5 <br /> DATE RECEIVED by EHD: October 10,2005 <br /> ADPL#: PA-0800291 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG <br /> PE : 2660 <br /> COMPLETE&SUBMIT$Y: DEVIATION(DV) <br /> Wed, October 29, 2008- <br /> - Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 22551 S SEVENTH T, TRACY <br /> APN: 25001001 <br /> In completing the Land Use investigation, dra <br /> � � "�'1rbIi-cc 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 Purveyo. Name of System <br /> SUMMARY OR COMMENTS 0r31 C <br /> . U U <br /> Pte- <br /> >< recommend: Approval Denial Continuance � Inspector: <br /> s) <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: 4 d <br /> Oorc #CONDITION � <br /> FH 06 06 Report 47201 <br /> October 13,2008 <br />