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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 APPL#: PA-1900238 <br /> Referral Agency STAFF CONTACT.' FRANK GIRARDI PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Tue, October 22, 2019 <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 Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A 11 h k Off Li • Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 16,2019 <br />