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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br />LAND USE REPORT RECORD ID: SU0012668 <br />DATE RECEIVED by EHD: December 04, 2019 APPL #: PA -1900278 <br />Referral Agency STAFF CONTACT JOHN FUNDERBURG PE: 2634 <br />IMPROVEMENT PLAN - MINOR (IP) <br />COMPLETE & SUBMIT BY: Tue, December 10, 2019 <br />Assigned to : EE0000418 KITH <br />SITE ADDRESS: 37222 S BIRD RD, TRACY APN : 26508015 <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: /VbN f- Public Sewer: ,V 0 (V 6 - <br />Name <br />Name. of Purveyor Name of System <br />SUMMARY OR COMMENTS: , USI0(A -Z F'�LZ�. �01TL�--S <br />RV c-1 0u5r Q - LASE _ <br />5yt� USsyZ L I \0 <br />D4-v�--0 Out R6)fwI) Ni�-o 1'\)6t� j h1�fit, h/eD TD <br />IA51N�, 2 V Dyeyt P fa -IV 1A IV, s <br />V 4, Vi \c -. V- 9-vM i VT Tu" D <br />I recommend: Approval F-1Denial 1-1Continuance ❑ Inspector: <br />Signature <br />Supervisor/Lead Senior COMMENTS: <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 />EH 06 06 Report #7201 December 05, 2019 <br />