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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br />LAND USE REPORT RECORD ID: SU0012604 <br />DATE RECEIVED by EHD: October 16, 2019 <br />Referral Agency STAFF CONTACT.' FRANK GIIZARDI <br />COMPLETE & SUBMIT BY: Tue, October 22, 2019 <br />APPL #: PA -1900238 <br />PE : 2690 <br />LOT LINE ADJUSTMENT (LA) <br />Assigned to : EE0000418 KITH <br />SITE ADDRESS: 15653 S KELSO RD, TRACY APN : 25802035, 25804001 <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: Aj#e-W Public Sewer:ca� <br />Name of Purveyor Name of System <br />SUMMARY OR/COMMENTS: <br />7 <br />I recommend: Approval 1-1 <br />Supervisor/Lead Senior COMMENTS: <br />Denial ❑ Continuance ❑ Inspector: <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 />Signature <br />EH 06 06 Report #7201 October 16, 2019 <br />