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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012616 <br /> DATE RECEIVED by EHD: October 18,2019 APPL#: PA-1900234 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, November 14, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 12 W LORENZEN RD,TRACY APN : 23914003,23914006 <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: A/aKlt Public Sewer: AIV A)f <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> - VQA svC�v M �b bb0\ C� <br /> eve o�cam.,-a fA <br /> SrirE v%srT I l ll�/Iq - M"SAP-,F.f) DJ-5P0JAt, Y tL17 4`� <br /> 1,#9 u 6 T12 I �-7 . f4-0 <br /> ooM -' May <br /> (>c <br /> P PQM ut�*�'C 5 N 4c,-fk-z ICU L \A) Po h C a N S Lt 1" 1" �V <br /> 1 1 oar \A5"S 5fiPL% t 1 f-.FsLo1_Ns <br /> I recommend: Approval ❑ Denial F-1 Continuance F1 Inspector: <br /> Signature <br /> Sup <br /> V-"5v mopy'�55 ppf u tNAST�_ W14Q'(iP, W1'-1,l, 6H <br /> f vrr C1 Oy\.(L�h P P-\--- MA vT til S -' W JeN ZS n etly <br /> w (VI TZ0 ao►v joa NaT <br /> ,kT L U Gni vV Pr re4- vtiJ A In <br /> T rt'-0by zoc�� d W T5 Ta 6 E <br /> Sk i,=(�Lr N M 4 stn f---z C b'�- E l -)wk- o K-I tL A 5 s Z)N3, <br /> 'D Ufl t 1 Tt..KtS PAF yial)T CO PT PAA IN4rs0f- 6f f LV 00 r�RS <br /> L40SPrl. �,ti�T�M' a SVL�IV Q�6_ L�LATD �D Y�Vb�U <br /> tioS , i3) � �, TLTLti <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 21,2019 <br />