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�S <br /> • <br /> J NOTE: PULL ALL PERMI� SEPTIC, WELL, ETC...) MOE COPIES FOR FILE <br /> GP-01-08/ZR-01-06 <br /> LAND USE REPORT (23100 S. KASSON RD, TRACY)- <br /> EIID RECEIVED APP.REFERRAL: COMPLETE & SUBMIT BY — 1 O 1 <br /> DA'L'E DATE <br /> ATTN: \ <br /> SITE ADDRESS: <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> r <br /> 1✓i <br /> ---. wD G�-l"YCyCtiC..� �O �,f�'� �d G�'I f 2 ✓`"�v Q f �:i <br /> j w <br /> a <br /> • 1 <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II CHECK OFF LIST. Proofread report? Correct LAND USE#?' <br /> E1106 06 Rev 1/99 Correct CONDITION(S)7 Logged in LAND USE BOOK? <br />