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NOTE: PULL ALL'h-"FRMITS (Septic, Well, etc.) MAKE L'OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005020 <br /> DATE RECEIVED by EHD: April 26,2005 APPL#: PA-0500232 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, May 17, 2005 <br /> Assigned to : EE0004000 VAN DYNE <br /> SITE ADDRESS: 30220 ST RT 33 HWY, TRACY APN : 25532001 & 02 <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: a • (� �Y <br /> R <br /> i <br /> I recommend: Approval [R] Denial F-1 Continuance Inspector: <br /> t/ Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 01 <br /> n <br /> C <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA!I Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 09,2005 <br />