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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013369 <br /> DATE RECEIVED by EHD: May 22,2020 APPL#: PA-2000083 <br /> Referral Agency STAFF CONTACT TEDDIE HERNANDEZ PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, June 18, 2020 Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 26603 S HANSEN RD, TRACY APN : 2091100.1 <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: t,�4 Public Sewer: A4 <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: �® , <br /> y Ila 7-,,o6,- �/I'����� ✓✓v-`��, [/mac Lrf" -jKSC �.-��c�riy.�,rf u <br /> �.dd t/�{'t`_ s�d �C"IK'�J I -. h�" • f��'ds 41 <br /> & t.< o.,ff... - <br /> •r <br /> del��a�l. 5 LiU-y S1j��7 SYd/e'w/ <br /> r,1J12:d1 e) <br /> I recommend: Approval 1-1 Denial F� Continuance 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 May 27,2020 <br />