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F— NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010915 <br /> DATE RECEIVED by EHD: May 24,2016 APPL#: UP-960002 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE&SUBMIT BY: Wed, June 1, 2016 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 13400 W MIDDLE RD, TRACY APN : 21204002 <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.... i <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Fe-1 Denial E] Continuance ❑ Inspecto <br /> ature <br /> Supervisor/Lead Senior COMMENTS: <br /> �.Lt A�A/i Low-w.yw� S <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: (1, <br /> A 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 24,2016 <br />