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i <br /> Y <br /> NOTE: PULL A RMITS (Septic, Well, etc.) MAK PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007907 <br /> DATE RECEIVED by RHD: September 11,2009 APPL#: PA-0900206 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: Tue, October 6, 2009 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 36314 S BIRD RD, TRACY APN : 26508013 14 <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: Public Sewer:--,---," <br /> Name of Purveyor Name of System <br /> SUMMARY DR COMMENTS: /7 <br /> C-�•�.�r -- .. /� �' r-�._—yam `2'-t7 tv �e/� <br /> I recommend: Approval �- Denial Continuance � Inspccter�-�� <br /> -_ <br /> Su pervisor/Lead Senior COMMENTS: rlgnxture,.. <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA ll Gheck 0>tiF t►sf Proofread Ite ort? <br /> p Carred LAf55E#7 <br /> Ctrract CONDITION( LU5�1„� <br /> i31 � <br /> EH 06 06 Report 47201 September 11,2009 <br />