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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012577 <br /> DATE RECEIVED by EHD: September 27,2019 APPL#: PA-1900208 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2633 <br /> SITE APPROVAL-MAJOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, October 31, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 14800 W SCHULTE RD,TRACY APN : 20924023 <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: v,,,,,e Public Sewer: ,v,,,, <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: Zc�_z�a-�3 <br /> 7cuD ere�e>/�'rt Pd �rsU«•,,f' A/�r/ s�h�z�� 2W <br /> c,vel Iy s, �lf< <br /> A1'Pti S c �5 'C1n hvt wti;ta Inst �a�-STr yv cc_ + tib✓ <br /> lni tftil. <br /> \\Vk! S �ZUD <br /> � 2 '�'Q�`4,� W't,��- ��G• ��C�1.�V�fl N�.�'� wtc.�`rh— w.����.,�•'VC ' <br /> Wk <br /> I recommend: Approval ❑ Denial F1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A 11 h k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 30,2019 <br />