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S <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012080 <br /> DATE RECEIVED by EUD: December 04,2018 APPL#: PA-1800305 Pre-Application <br /> Referral Agency STAFF CONTACT. FRANK GIRARDI PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: Thu, December 20, 2018 <br /> Assigned to : EE0000034 AITMED <br /> SITE ADDRESS: 26106 S PATTERSON PASS RD, TRACY APN : 20910024 <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: kV— Public Sewer: �, t <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 1 fps a wre/L /k,,M P.1 J''/or . t/>„ /60 7y <br /> Aeeee<�' r.� M1'1k frem dr.�Ne <br /> Cd„nA tly N {X�,u�MYJ� hssv�:rks <br /> zz:al //:03 4X:01 kwsc eas w tt ref to amfp�.Jbd�. <br /> "A+ P/ayra ,,,r;IL6e we►kN <br /> r#t.ee ik pr't.n,tiry . <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A 11 h k ff Li : Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 December 05,2018 <br />