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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013080 <br /> DATE RECEIVED by EHD: March 09,2020 APPL#: PA-1700258 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2632 <br /> SITE APPROVAL-GENERAL(SA)�7"O <br /> COMPLETE&SUBMIT BY: Thu, March 26, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 3566 W ELEVENTH ST,TRACY APN : 23906018 <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: Noy- Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> /9GC !C 'n`r S��!t :t4 Bowe% <i�+.,. n��f�s✓s/ L �iE�r e�« �'� iNu r e�i L 8, �o/B. <br /> 0 SUeA0P71! :Z! v /-Od�C k fil i i►r t1 1''o-, # <br /> I recommend: Approval 1-1 Denial F-1 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 March 10,2020 <br />