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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAK! 610PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006306 <br /> DATE RECEIVED by EHD: October 25,2006 APPL#: PA-0600514 REVISI <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE &SUBMIT BY: Tue, November 21, 2006 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 26955 S HANSEN RD, TRACY APN : 20911009 <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: 11�- Public Sewer: / <br /> Name of Pur or Name of System <br /> SUMMARY//OR COMMENTS: ab �C[�/14✓ td.n � w, (&-�f— <br /> "'/ <br /> I recommend: Approval Denial ❑ Continuance Inspectorr'y"- <br /> " Signature <br /> Supervisor/Lead Senior COMMENTS: �- <br /> SUPERVISOR/LEAD SENIOR Approval: Ah <br /> lJ Date: <br /> 11 Check Off List: Proorread-Rep6rt <br /> h <br /> ` '- ti°'"`"�- , ;CarrertCONllf1'ION(S)7= _ <br /> EH 06 06 Report#7201 October 25,2006 <br />