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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011144 <br /> DATE RECEIVED by EHD: December 09,2016 APPL 4: PA-1600272 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> eA-[� A ` '� LOT LINE ADJUSTMENT(LA) <br /> COt�A SAPLBW: Fri, December 16, 2016 Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: S TRACY BLVD, TRACY APN : 25310006 <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 Purve or Name of System <br /> SUMMARY OR COMMENTS: j t <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signa are <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: % 7 <br /> OA 11 Check Off List Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 December 12,2016 <br />