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JH <br /> NOTE: PULL ALL PERM S SEPTIC WELL ETC... AKE COPIES FOR FILE <br /> ( ) <br /> LAND USE REPORT APP#: PA-04-80 (SA) Pre-App <br /> EHD RECEIVED APP.REFERRAL:3/04/04 COMPLETE & SUBMIT BY: ASAP BY: 3-15-04 <br /> DATE DATE <br /> ATTN: JENNIFER JOLLEY <br /> SITE ADDRESS: 20199 SOUTH WICKLAND ROAD, TRACY <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw a completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Aly Public sewage: <br /> SUMMARY OR COMMENTS: <br /> Z2 /s 2 D/ 4hd2in . <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> �F�F4c�'c9c9c*9c�'c�cxyc9cisis�F**�Fx�Fx�ex*ie�exaF*�ex�e�c�cxxis9e*9c ie 9enFisiFisisis�c�eie*ir�c�FieXic�F*icis9cxicxa4**�c�e** �c�c$c*�c�Y�Fdr***�c�'c�F* <br /> Supervisor/Lea/d/hS�enior Comments: <br /> ( V <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> EH 06 06 Rev 1/99 OA II CHECK OFF LIST.- Proofread report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE BOOK? <br />