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' NOTE: PULL ALL —RMITS (Septic, Well, etc.) MAKE .`,,,,PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006918 <br /> DATE RECEIVED by EHD: January 11,2008 APPL#: PA-0700594 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2633 <br /> SITE APPROVAL-MAJOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, January 22, 2008 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 29398 S TRACY BLVD, TRACY APN : ?r:;,3 <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 Ptirveyor Name of System <br /> SUMMARY OR COMMENTS: � � 11& <br /> /s y <br /> X,"j <br /> --- <br /> i D W hCG^ w 4VV4.) <br /> 5o Y :5q mak•, �.Q��i - ` ut ` <br /> 0 <br /> I recommend. Approval enial Continuance Inspector: <br /> gnaturr-- <br /> Supervisor/Lead Senior COMMENTS: <br /> .l7 <br /> a <br /> 0 <br /> C=h n <br /> SUPERVISOR/ LEAD SENIOR Approval �� -rt -' —. 1 --- %"' ._ Date: <br /> - <br /> OA 11 Check Off List: Proofread Report? Correct I-AND USE 4? <br /> Cor.ect CONDITION(S)'? - Locoed in LAND USE Book? <br /> 1.11 06 06 Report#7201 January 11,2008 / <br />