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NOTE: PULL ALL`PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009336 <br /> DATE RECEIVED by EHD: September 05,2012 APPL#: PA-1200169 <br /> Referral Agency STAFF CONTACT: JOHN L FUNDERBURG PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE&SUBMIT BY: Tue, September 18, 2012 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 3757 W KENNER RD, TRACY APN : 25506026 27 36 58 <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 /> 3ensity, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> �� �U � - �r�� %�5� � !lrct �iunh YP�/i17y � e✓ L'gl'� //A.�I�C <br /> V <br /> I recommend: Approval DenialEl <br /> Continuance Inspe . e <br /> $xe e <br /> Supervisor/Lead Senior COMMENTS: <br /> �L <br /> - p <br /> C( <br /> i <br /> SUPERVISOR/ LEAD SENIOR Approval Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE# ? <br /> Correct CONDITION(S)? Logged in LAND USF,.Rook? <br /> EH 06 06 Report#7201 <br /> September 05,2012 <br />