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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013101 <br /> DATE RECEIVED by EHD: March 25,2020 APPL#: PA-2000045 <br /> Referral Agency STAFF CONTACT. TEDDIE HERNANDEZ PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE&SUBMIT BY: Thu, April 9, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 5225 W ELEVENTH ST,TRACY APN : 25011014 <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: A4,,, Public Sewer: Xj, ,t <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 5 � jos j7 �•f� �/a'J zso-/tc:) ks ,,�.k &44C w,�� s1��� ayd/e..._ <br /> h4� r t-!C is /u< K-� < Elis U>< <br /> JP� ` Sy/yi+-Ze e<< f o� /��./••✓4, <br /> 7 6-- 13 4. 86 -S", JAZ-le 2cx,�/�, �,�?a�c,yz7`WSJ• <br /> -3 r <br /> I recommend: Approval ❑ Denial F-1 Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A !1 Check Off List- Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 March 26,2020 <br />