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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> RECORD ID: SU0010620 <br /> LAND USE REPORT <br /> DATE RECEIVED by EHD: September 04,2015 APPL#: PA-1500168 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: I Wed,"October 7,, 2015 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 28850 S TRACY BLVD, TRACY APN : 25312025 <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 OIJ COMMENTS: <br /> 44Wow S okv r c✓ TJ 11'&P1 � <br /> I <br /> F <br /> I recommend: Approva ® Denial Co tin uance Inspectors <br /> Signature <br /> Supervisor/Lead Senior OMMENTS: <br /> 4 <br /> f t <br /> ti <br /> t <br /> I <br /> i <br /> SUPERVISOR/LEAD SENIOR Approval: Date: (o r <br /> Proofread Report. -.Correct LAND USE#? - <br /> js, - <br /> f <br /> Correct C I NDITION(5}? Logged in LAND'USE-Book? <br /> EH 06 06 Report 47201 September 08,2015 <br /> r <br /> 1 'r <br /> i <br />