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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013125 <br /> DATE RECEIVED by EHD: March 02,2020 APPL#: PA-2000005 <br /> Referral Agency STAFF CONTACP. JENNIFER JOLLEY PE : 2640 <br /> ROAD NAME CHANGE(RN) <br /> COMPLETE&SUBMIT BY: Thu, March 26, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: HWY 580/S SCHULTE RD, TRACY APN: 15518002 <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 /> Ale ue ee a or- S-0P L <br /> I recommend: Approval ❑ Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A!1 h k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 April 01,2020 <br />