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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013445 <br /> DATE RECEIVED by EHD: June 09,2020 APPL#: PA-2000063 <br /> Referral Agency STAFF CONTACT! FRANK GIRARDI PE : 2608 <br /> MASTER PLAN(MP) <br /> COMPLETE&SUBMIT BY: Mon, June 22, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 17400 W BETHANY RD, TRACY APN : 20915029 <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: "o.c Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> G' <br /> I recommend: Approval F-1 Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 h ck Off Li Proofread Report? Correct LAND USE#? / <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 June 11,2020 <br />