Laserfiche WebLink
I recommend: Approval <br />Supervisor/Lead Senior COMMENTS: <br />Continuance pi Inspector. Denial <br />Signature <br />NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br />LAND USE REPORT <br />DATE RECEIVED by EHD: July 03, 2019 <br />RECORD ID: SU0012393 <br />APPL #: PA-1900143 <br />Referral Agency STAFF CONTACT BJARNE L. HANSEN PE: 2632 <br />SITE APPROVAL- GENERAL (SA) <br />Assigned to: EE0007380 SHIR <br />COMPLETE & SUBMIT BY: Thu, July 25, 2019 <br /> <br />SITE ADDRESS: 26901 S HANSEN RD, TRACY <br /> <br />APN : 20911010 <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: t\ho Public Sewer: Ak,e, <br />Name of Purveyor Name of System <br />SUMMARY OR COMMENTS: 407447,e _20,,,,a,c) 7-2-r-11 ; &K-6ele ,4d/4 JePhe- <br />(e, <br />5'I E:::ey 7 - 2 Ar er i•-vi 14.A rte. ,Qv e keel i/14 t/ 0944 <br />s4te e•43 ate leig4/ /6 ' /4edir/A dr, "A 4, edoe <4., 1 „....7,41ekr 0..e/ <br />alio ,' ae 14%.4 "(--. 7- 7 /3, 41/ i,tote*c <br />SUPERVISOR / LEAD SENIOR Approval: Date: <br />OA II Check Off List: Proofread Report? <br />Correct CONDITION(S) ? <br />Correct LAND USE #? <br />Logged in LAND USE Book? <br /> <br />LII O6O6Report#7201 July 11, 2019