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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500010412 <br /> DATE RECEIVED by EHD: March 06,2015 APPL#: PA-1500029 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, April 7, 2015 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 11955 E BAKER RD, STOCKTON APN : 08916039 40 <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: - Age�111&Z'), •/W/1a�-634 Lam- !ze'C;�-j "a r_ , 7 iniTs <br /> .4 TLE3� —G��7�f.4 St�7ic SS/5�1~3ri t A <br /> I recommend: Approval aDenial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> t.t�"-4- <br /> 11 I l i c'ti S5a <br /> Cio�,c' Zy1 - v),.6 2sj—'.'L�dC,c <br /> 22:0 <br /> wk l t cw L L Z 7.C' t <br /> SUPERVISOR/LEAD SENIOR Approval: 4 Y Date: <br /> Off List- Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 <br /> March 06,2015 <br />