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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500012040 <br /> DATE RECEIVED by EHD: October 29,2018 APPL#: PA-1800207 <br /> Referral Agency STAFF CONTACT! ALISA GOULART PE : 2631 <br /> SITE <br /> n,�APPRO AL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: Fri, November 9, 2018 W <br /> Assigned to : EE0000034 AHMED <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: 4w, Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 3 pug- Perm +t 5. p-e— 'Vol-11- 91— it//V/lr for <br /> Out_ GrOAv riC-- eat 1icnr!!Pe 'T-'04 /c Y'e'ea <br /> I recommend: Approval El Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A ll h k ff L' Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> FH 06 06 Report 47201 October 29,2018 <br />