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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009259 <br /> DATE RECEIVED by EHD: June 29,2012 APPL#: PA-1200122 <br /> Referral Agency STAFF CONTACT: AA-c #-Aref�- PE • 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, July 77, 2012 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 12067 W LAMMERS RD, TRACY APN : 21209018 19 31 <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 /> 3ensity, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval DenialEl Continuance Inspe <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 14^- <br /> c (z, <br /> 2 <br /> 44- <br /> Z <br /> SUPERVISOR/LEAD SENIOR Approval: � C�—� Date: � 1 Z— <br /> OA It Check Off List: Proofread Report? Correct LAND USE#? <br /> _Correct CONDITION(S)v : Logged in LAND USE Book? <br /> ['1106 06 Report 971.01 � <br /> Juh 0_2 UI- <br />