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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00011711 <br /> DATE RECEIVED by EHD: March 20,2018 APPL#: PA-0600207 <br /> Referral Agency STAFF CONTACT: ALISA GOULART PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE& SUBMIT BY: Wed, March 28, 2018 <br /> Assigned to : BE0000034 AHMED <br /> SITE ADDRESS: 12100 W VALPICO RD, TRACY APN : 24014024 <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: tjo,,,x Public Sewer: WejL <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> ir�jtc Ptic {�df /dim. o, A �P• <br /> -Dcv.«~','a{ 6e/�L l�re{t {s le 5&010 AS70y. <br /> 'Sar%Ju.fo�,�i �Ne %,le- Lsav{ e-row /,13/1 2-W7 SXC'O 'i 9-5-3,e <br /> 70- <br /> (�f nr rniww�S; <br /> A)eY #GJ /Vyb/ 1J 3W 4 <br /> V1/:PI 'P //.'eu f) J ,guy:os' JJ <br /> I recommend: Approval ✓❑ Denial ❑ Continuance ❑ Inspector: Jeer. <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> L7 �t 326 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A II h k List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 97201 Much 20.2018 <br />