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AI <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006116 <br /> DATE RECEIVED by EHD: July 07,2006 APPL#: UP-960002 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE& SUBMIT BY: Wed, August 2, 2006 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 13400 W MIDDLE RD, TRACY APN : 21204002 <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: <br /> I recommend: Approval F-1 Denial F� Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> Proofreadlte or7t ° IN. <br /> h.3 ,.r r- <br /> O/1eY1. �1/ { I�t '(}beL 3 h4 I,k iSY' �I� IY <br /> 1 B al °�� , y' <br /> g5 N y <br /> 00K1r+�'fu <br /> EH 06 06 Report#7201 July 10,2006 <br />