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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013447 <br /> DATE RECEIVED by EHD: June 09,2020 APPL#: PA-2000065 <br /> Referral Agency STAFF CONTACT' FRANK GIRARDI PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <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: r✓o.,e- Public Sewer: may,-C <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 4/{ �r �,� ��.,,7� lGi4—"C- -4-0LSI-CM-4 <br /> �r ti <br /> I recommend: Approval ❑ Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 1l Check Off List: Proofread Report? V Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 June 11,2020 <br />