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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011217 <br /> DATE RECEIVED by EHD: January 30,2017 APPL#: PA-0200600 <br /> Referral Agency STAFF CONTACT: GIUSEPPE SANFILIPPO PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, February 14, 2017 T•.w,, R-kr41.^ <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 27237 S LAMMERS RD, TRACY APN : 25105003 <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 /> ZO!?3 <br /> I recommend: Approval Rk— Denial Continuance Inspecto <br /> Signature <br /> SSau ervisor/Lead Senior COMMENTS: <br /> ezi <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 Check OH List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 January 30,2017 <br />