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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REQ PORT RECORD ID: SU0009491 <br /> DATE RECEIVED by EHD: January 18,2013 APPL#: PA-1300003 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2625 <br /> USE PERMIT-MINOR(IIP) <br /> COMPLETE&SUBMIT BY: Wed, January 30, 2013 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 26666 S HANSEN RD,TRACY APN: 20923027 <br /> [n 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: Public Sewer: `"- <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> `- <br /> LP <br /> [ recommend: Approval ®_ DenialElContinuance ElInspee <br /> Supervisor/Lead Senior COMMENTS: --�'"Signature <br /> Q� <br /> 22'oZ <br /> .a <br /> tez D S <br /> Lam'-z'fC—(L- <br /> i?) 12..02 <br /> ej <br /> e✓1 � f I`0� (A, _ �. , � n/ Gl4tt, S �'l j c.F_� �c1� °/� <br /> SUPERVISOR/LEAD SENIOR Approval: Date: v <br /> OA 7l Chock Off Lfist �T��� ���Proofread,Report? � �,� � Correct LAND`T.1SE#�? ; <br /> E�Boo1c7 . <br /> s <br /> EH 06 06 Report#7201 <br /> January 22,201= <br />