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PF <br /> NOTE: PULL AUL-PERMITS (Septic, Well, etc.) MAKL.JPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007674 <br /> DATE RECEIVED by EHD: April 13,2009 APPL#: PA-0900085 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, April 29, 2009 <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: Public Sewer: �— <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: 4 V6,rl <br /> . 4( __ 1 _ N 11 CMwgS <br /> &S, I' $ <br /> � '.U7 — 1 c\ vA+rjl-- la <br /> I recommend: Approval Denial Continuance Inspector-_,"% <br /> �-' <br /> �gn�fus <br /> Supervisor/Lead Senior COMMENTS: � <br /> SUPERVISOR / LEAD SENIOR Approval: Mac: <br /> OA 11 Check Off List: Proofivad Report? Correct I AND USE 4' <br /> -- Concct COND11ION(S)9 Lugged in Lr1Nl I SF;,E3ook' <br /> �' April 17,2009 <br />