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NOTE: PULL ALL`I-ERMITS (Septic, Well, etc.) MAKE- APIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005098 <br /> DATE RECEIVED by EHD: June 15,2005 APPL#: PA-0500340 <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE & SUBMIT BY: Tue, July 5, 2005 <br /> Assigned to : EE0004000 VAN DINE <br /> SITE ADDRESS: 32350 S ST RT 33 HWY, TRACY APN : 25515008 <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: <br /> /10 r,�/,c'c c LvUtia <br /> I recommend: Approval F-1 Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> Q 1 � <br /> �} /Z-d 3 ot..._ <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: ( G1 <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> FH 06 06 Report#7201 June 16,2005 <br />