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�0 Se rnS-of -/Q ce—A,,,J S:s <br /> r <br /> NOTE: PULL ALL PERN1 15 (SEPTIC, WELL, ETC...) ti_:CE COPIES FOR FILE <br /> GP-01-02/ZR-01-07 <br /> LAND USE REPORT A 7999 W. LINNE ROAD, TRACY - <br /> EnD RECEIVED APP.REFERRAL: 7— COMPLETE & SUBMIT BY '� "L <br /> DATE DATE <br /> ATTN: J-k—" f ism <br /> SITE ADDRESS: <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 completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> �e9exieF9c�c*'eiricieieiex�c�cEieo4�cF�eY'cie�r�c9cic�c�exieirx**9c+c�e�r3ck*3e�e*F**9c�9e**F�c***�c�e9c*9c 9cic*�c�c'e9c**9e�cdr��cir*�e�c9c**�e�eF <br /> Supervisor/Lead S nior Comments: <br /> ✓ 747 <br /> V _ <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> OA H CHECK OFF LIST: Proofread report? Correct LAND USE#? <br /> E11 06 06 Rev 1/99 Correct CONDITION(S)? Logged in LAND USE BOOK? <br />