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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012345 <br /> DATE RECEIVED by EHD: May 28,2019 APPL#: PA-1800305 <br /> Referral Agency STAFF CONTACT! FRANK GIRARDI PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Thu, June 13, 2019 <br /> Assigned to : EE0009825 AFONSKAIA <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: /V0 0 Vv-- Public Sewer: /Vo vtt- <br /> Name of Purveyor Name of <br /> System <br /> SUMMARY OR COMMENTS: R1 4 In V-A,2 <br /> S Y3 <br /> -- SQok� � 10�I Qu o�la✓�G' As SaG•a�Q is sem-;j oaf 4f Wd <br /> � 1 0,0 ivells n�t s;-�- s 1„,7( Zoo F4 S'440h,-( �►.dfl�� <br /> On ✓� Co i -P�t �o <br /> r W Sc� s-�� S' ✓�n d- Gt a�n a-� <br /> I recommend: Approval ❑ Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 h ck Off Li Proofread Report? Correct LAND USE#'? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 30,2019 <br />