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000 3Yay , J°G - a6 <br /> _ .TII <br /> 71 <br /> NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP#: PA-04-127 (UP) <br /> EHD RECEIVED APP.REFERRAL: 3/31/04 COMPLETE & SUBMIT BY: 4/14/04 <br /> DATE DATE <br /> ATTN: IYANNE MUEL.L.ER <br /> SITE ADDRESS: 5317 WEST GRANT LINE 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: A/d Public sewage: A,1c) <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> J , <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> EH os o6 Rev 1/99 Correct <br /> H CHECKOFF LIST. _Proofread report? _ Correct LAND USE#? <br /> Correct CONDITION(S)? _Logged in LAND USE BOOK? <br />