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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011918 <br /> DATE RECEIVED by EHD: August 27,2018 APPL#: PA-1800207 <br /> Referral Agency STAFF CONTACT: ALISA GOULART PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, September 12, 2018 <br /> Assigned to : EE0000034 ARMED <br /> SITE ADDRESS: 28850 S TRACY BLVD,TRACY APN : 25312053 <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: /LG,,� Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: �, <br /> s-mac s, I/I /�, u/ ' L4��<s �a»� P <br /> / d 0 ev—rl-f e, , !L <br /> jpq /As- <br /> G/• Z?,•oS ta, <br /> // 03 <br /> 8e,0' 6,15- <br /> I <br /> ,15-I recommend: Approval FV1Denial F1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior C12MMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 28,2018 <br />