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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011691 <br /> DATE RECEIVED by EHD: March 07,2018 APPL#: PA-1800037 <br /> Referral Agency STAFF CONTACT MEGAN AGUIRRE PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Wed, March 28, 2018 <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 17950 W VIA NICOLO RD, TRACY APN : 20911032, MULTIPLE APNS <br /> SEE FORM <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: Na,.,p Public Sewer: Na,,,L, <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> IA/1? �/Y/�'? Rrsv�erl a0rol rr�rr• <br /> 4�.nhe•. fs <br /> AJ oy <br /> I recommend: Approval Denial Continuance inspector: llktc - <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> Ell 06 06 Report#7201 March 08,2018 <br />