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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012603 <br /> DATE RECEIVED by EHD: October 14,2019 APPL#: PA-1900231 <br /> Referral Agency STAFF CONTACL' TEDDIE HERNANDEZ PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, October 31, 2019 <br /> Assigned to: EE0000418 KITH <br /> SITE ADDRESS: 31850 S CHRISMAN RD,TRACY APN : 25325030 <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: M0� Public Sewer: O� <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: (Zo&u) <br /> I P yT X04- fkAMV P"MTT (/q 7-7) <br /> " �,��. ,a t'�C.y�N L S.•k�` Q Q--S,I�sCs�n `'Q�.�J 4`�'�(n'� <br /> L.O.� i� �';� w`c� ��Q. �ti • IL <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 heck Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 16,2019 <br />