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NOTE: PULL ALL . . MITS (Septic, Well, etc.) MAKE IMPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006583 <br /> DATE RECEIVED by EHD: May 30,2007 APPL#: PA-0500702 TE <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, June 19, 2007 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 8872 W LINNE RD, TRACY APN : 25321005 <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 /> Wj2 4&!� c&lc <br /> I recommend: Approval ® Denial ❑ Continuance ❑ Insper,tor. <br /> Signature � <br /> Supervisor/Lead Senior COMMENTS: _ <br /> SUPERVISOR/LEAD SENIOR Approval: �/ / - ---Date-- <br /> 'OA 11 Check Off List: Proofread Report? Correct LAND USE .? <br /> Correct CONDITIONS)? Logged in LAND USE Book? . <br /> -H 06 06 Report 97201 May 30,2007 <br />