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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPI=S FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008577 <br /> DATE RECEIVED by EHD: January 07,2011 APPL#: PA-1000267 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE: 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE&SUBMIT BY: Wed, January 26, 2011 <br /> Assigned to : E1;0004045 TASIOPOULOS <br /> SITE ADDRESS: 18500 S HENDERSON RD,TRACY APN : 20917003 <br /> [n 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 v�/ J a � <br /> Q :U v1�112 a•. • <br /> b' <br /> k RA"b�, <br /> t7 l� '. J �j - L✓p� �'`� <br /> t :�6. r �f �.:� _n� -,0(;, <br /> U � VG�;� <br /> ( recommend: Approval ® Denial Continuance F� Inspector-_ u <br /> ignY atuxe- ' <br /> Supervisor/Lead Senior COMMENTS: <br /> L 20 : 0 <br /> ZZ:L) <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> pq. <br /> OSI lI.Check[?ff L�sf x $ Proofread Report? 4" 17 <br /> n Ct 1�CNDrV <br /> ✓ a t svx". 'r <br /> correctC31�iD1TiQ�1( 1 pied rn AI�I3 oo1C ,' <br /> .,'.i', a dr,'$n d bi'F -...,, ll•... ,:.. ',^f <br /> EH 06 06 Report#7201 January 07,2011 <br />