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NOTE: PULL ALL�,,., ;tMITS (Septic, Well, etc.) MAKE %,,r.PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005666 <br /> DATE RECEIVED by EHD: October 05,2005 APDL#: PA-0500628 <br /> Referral Agency STAFF CONTACT: AN ONIO SALC DO PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BYbAP-bY:11Tk`61 'l�$ <br /> � Assigned to : EE0004000 VAN DYNE <br /> SITE ADDRESS: 16501 S TRACY BLVD, TRACY APN: 18912013& <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (ix., 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: , r ! 1 � y le4) <br /> b tom . j t/'p rj a4,c- , �;644. � ki <br /> Wkw :t'4 <br /> �.. 4 44 <br /> LU nq <br /> \_ <br /> E <br /> I recommend: ApprovalDenial Continuance F-1 Inspector: '1 (/t <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> f= <br /> / ©( -rf <br /> r <br /> ell <br /> �' i. I w .( T• r 7 r' <br /> d <br /> SUPERVISOR I LEAD SENIOR Approval: ate*.- {9" <br /> Proofread Re ort? , _ <br /> OA fl Check List: P Correct LAND USE.# . <br /> Correct CONDITIONS)7 Logged in=LAND USE Book? <br /> EH 06 06 Report#7201 October 06,2005 <br />