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NOTE: PUL��.LLh. :RMITS (Septic, Well, etc.) 1.. .KE__OPIES FOR FILES <br /> LAND USE REPORT RECORD ID: SU0004581 <br /> DATE RECEIVED by EHD: July 20,2004 APPL#: PA-04-348 <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES PE : 2660 <br /> DEVIATION(DV) <br /> COMPLETE& SUBMIT BY: Tue, August 3, 2004 <br /> i <br /> Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 28480 S DEPOT MASTER DR,TRACY APN : 24808022 <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, Iocation of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I <br /> 3 <br /> I recommend: Approval F-1 Denial F-1 Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> oil <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA H Check Off List: Proofread Report?,. Correct LAND USE4? <br /> Correct CONpI iON S 2 Lo8ge in LAND SE Bq k. <br /> .. ? <br /> 1:H 06 06 Report#7201 Page 6 July 27,2004 <br />