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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011371 <br /> DATE RECEIVED by EHD: May 30,2017 APPL#: PA-1700111 <br /> Referral Agency STAFF CONTACT[. RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: Fri, June 2, 2077 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 408 N BERN RD, STOCKTON APN: 10304046 <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: _ raj , <br /> 'i'- WA2 !-7i 04/c'a 77*1 w- 11 -1 -Xf 6-+0'r' &117/t� l./G Sf65Z[3_''!'J /A+10 -,44/k-lz( <br /> i� rrr Z« a A-2�e A40 �o 4je, .840;r!!5 �/ /J 2r/fi llz7i�sP4LGS 4 C o=D/l�6%'Xt3s. <br /> 4J 15 AAL 1#s 4,9 a !�' r lag�E chis .Oaie4--7raj <br /> I recommend: Approval Denial ❑ Continuance ❑ Inspect <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 CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 31,2017 <br />