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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012044 <br /> DATE RECEIVED by ERD: December 14,2018 APPL#: PA-1800287 <br /> Referral Agency STAFF CONTACT. ALISA GOULART PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, January 3, 2019 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 3568 E ARCH RD, STOCKTON APN : 18112001 <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: N ,-r.,tPublic Sewer: r> <br /> Name of Purveyor Name System <br /> SUMMARY OR COMMENTS: w �� � 1�� A&k 62L C j n� � r <br /> G�(rtS w YGvvw\ 5!,qi �C► v , <br /> S S IZ v� g <br /> 1�Jv (Q_ it 7r O £�✓7s, <br /> 1 ifi,f 'i <br /> rpt 110 -(-- itl r "sc <br /> - <br /> ack aAv Wet <br /> I recommend: Approval ❑ Denial Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> ff I ist, Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 14 <br /> //� <br /> December 14,2018 <br />