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NOTE: PULL ALLL iRMITS (Septic, Well, etc.) MAKE [ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006799 <br /> DATE RECEIVED by EHD: October 23,2007 APPL#: PA-0700489 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2666 <br /> REZONING 5+acres(ZR) <br /> COMPLETE&SUBMIT BY: Wed, October 31, 2007 <br /> Assigned to : 1:E0004045 TASIOPOULOS <br /> SITE ADDRESS: 31244 S HWY 33 , TRACY APN : 25531020 <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: <br /> V <br /> I recommend: ApprovalDenial Continuance Inspec <br /> signature- <br /> Supervisor/Lead Senior COMMENTS: <br /> 1 <br /> _• <br /> w� 6- Ss <br /> SUPERVISOR/LEAD SENIOR Approval: A CP, <br /> Proofread Ke ort? �itn c� ssSN�S <br /> OA` <br /> U.Check Off List P <br /> - r . <br /> Correct CONI�ITION(S} bogged <br /> 8H 06 06 Report#7201 October 25,2007 <br />