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RB <br /> NOTE: PULL ALL PERMf"r'S (SEPTIC, WELL, ETC...) M�,rKE COPIES FOR FILE <br /> LAND USE REPORT APP#: SA-01-13 (RA) <br /> EHD RECEIVED APP.REFERRAL:4118II14 COMPLETE & SUBMIT BY: 416104 _ <br /> DATE DATE <br /> ATTN: LEANNE MUELLER <br /> SITE ADDRESS: 11299 WEST LARCH ROAD, TRACY <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw a completed map of area <br /> showing population density, Iocation of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> V 11 <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> 'ni�.v aui COM- At�6,$ .EH 0606 Rev 1199 4 ._, <br /> $4x¢� <br />