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NOTE: PULL ALS, RM1TS (Septic, Well, etc.) MAKd,.—AES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007759 <br /> DATE RECEIVED by EHD: June 12,2009 APPL#: PA-0900103 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <br /> -- Assigned to : EE0004045 TASIOPOULOS <br /> ■ <br /> ARBY <br /> SITE ADDRESS: 18775 S TOM PAINE AVE, TRACY, APN: 21302030 <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 P rveyo Name of System <br /> SUMMARY OR -COMMENTS: <br /> 1 recommend: Approval � Denial Continuance Inspecto . <br /> ignature <br /> Sn ervisor/Lead Senior COMMENTS: <br /> zm <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: <br /> t3A°IICirvacic 7�ff L#sty ` tocreepoalece: <br /> _ - w <br /> EH 06 06 Report#7201 June 15,2009 <br />