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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009221 <br /> DATE RECEIVED by EHD: June 04,2012 APPL#: PA-1200100 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Wed, June 13, 2012 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 2908 N BOZZANO RD, STOCKTON APN : 10129013 11 <br /> [n 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: _ s F k�,: Z o CZJ AAzi Z�:'r2 O'J uQ �� 125&b r7—' <br /> Al rl_ oA) 11.43(4, elf� zz:6 <br /> [ recommend: Approval 12 Denial Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> � I flaOS <br /> 0 <br /> C <br /> SUPERVISOR/LEAD SENIOR Approval: - Date: ' <br /> OA If Check Off List: Proofread Report? Correct LAND USE 4? <br /> Correct CONDITION(S)? Logged in LAND USE 13ook? <br /> Hob061(epon 47201 luno nq <br />