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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010748 <br /> DATE RECEIVED by EHD: January 19,2016 APPL#: PA-1600004 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, February 2, 2016 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 8253 W LINNE RD,TRACY APN: 24808023 <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 /> /c <br /> D f A144r"1/165 <br /> c'., . .LO 792 ' rd r-c <br /> 2 ;0 <br /> I recommend: ApprovalPq ElDenial Continuance Inspe <br /> mature <br /> Supervisor/Lead Senior COMMENTS: <br /> I <br /> r �Jt <br /> I a <br /> SUPERVISOR/LEAD SENIOR Approval: Date: ' <br /> OA 11 Check Off List: Proolread Report? Correct LAND USE#? <br /> Correct CONDITIONS)? Lodged in LAND USE Book? <br /> EH 06 06 Report#7201 .hmumm 20,2016 <br />