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NOTE: PULL ALL*wRMITS (Septic, Well, etc.) MAKE tvwPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006293 <br /> DATE RECEIVED by EHD: October 03,2006 APPL#: PA-0600514 <br /> Referral Agency STAFF CONTACT: MO HATEF PE: 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE& SUBMIT BY: Tue, October 17, 2006 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 26955 S HANSEN RD,TRACY APN : 20911009 <br /> ht 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 OR COMMENTS: <br /> OF <br /> as oy of ,�,la.�t� <br /> 2� 0y - <br /> I recommend: Approval a Denial � Continuance � Inspect <br /> Supervisor/Lead Senior COMMENTS: <br /> L _ <br /> l D� ��1niC 7a /5�t/Ehi [t �Gf�'t S) I ater <br /> A) — <br /> Y <br /> ode, — <br /> C� - <br /> D <br /> rienne— <br /> 58- — <br /> SUPERVISOR/LEAD SENIOR Approval: J _ _J'_"' Date: <br /> EH 06 06 Report 47201 October 03,2006 <br />