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• JH <br /> NOTE: PULL ALL PERI fS (SEPTIC, WELL, ETC...) AKE COPIES FOR FILE <br /> LAND USE REPORT APP#: PA-04-90 (MS) <br /> EHD RECEIVED APP.REFERRAL: 3/10/04 COMPLETE & SUBMIT BY: 4-07-04 <br /> DATE DATE <br /> ATTN: RAYMOND HOO <br /> SITE ADDRESS: 1999 WEST LINNE ROAD, TRACY <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 a completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: N`l <br /> SUMMARY OR COMMENTS: <br /> � <br /> s <br /> I recommend: Approval / Denial Continuance Inspector's Signature <br /> F Y is k 4c is k•9c F��'c is E**�**c�c c*4e E**de 4c�cx*xxxF 9c 9c�9cx9exxie�c cxn�c c�c is is is�c is Y is is is is c icx�c�c�cx'c 49c*�c 9cx9c 9e 9c�e'c 4'c�c*Y�c 9ex9c <br /> Supervisor/Lead Senior Comments: <br /> ")(0 - 3 - - <br /> 0 &101/rp t/� <br /> " <br /> CL <br /> �- <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> Hi'"06 ob OA H CHECK OFF LIST. Proofread report? Correct LAND USE#T <br /> ""C"� Correct CONDITION(S)? Logged in LAND USE BOOK? <br />