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F NOTE: PULL AL1 ;RMITS (Septic, Well, etc.) MAKL xP1ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007710 <br /> DATE RECEIVED by EHD: May 01,2009 APPL#: PA-0900104 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Wed, May 13, 2009 <br /> Assigned to : EE0004045 TASIOPOliLOS <br /> SITE ADDRESS: 31244 S HWY 33 , TRACY APN : 25531020 <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 Purveyor Name of System <br /> SUMMARY OR COMMENTS: , i• <br /> I <br /> I recommend: Approval Denial Continuance [nspectey: <br /> - Si�n:rturc <br /> Supervisor/Lead Senior COMMENTS: <br /> rb <br /> ze1 <br /> G 22. ©Z._- I",& lb &j2 <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Corrcct LAND t'SL <br /> Correct CONDITION(S)? Logged in LAND USI: hook? <br />