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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011505 <br /> DATE RECEIVED by ERD: September 25,2017 APPL#: PA-1700120 <br /> Referral Agency STAFF CONTACT. ALISA GOULART PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE &SUBMIT BY: Tue, October 17, 2017 <br /> Assigned to : EE0009649 ESTRADA <br /> SITE ADDRESS: 3647 E CALAVERAS AVE, STOCKTON APN : 13205003 <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 jL& Name of System <br /> SUMMARY OR COMMENTS: 15?n 4'& Jame- •k,4 '� <br /> Vl5�jeo C - -r-ia-c-I u Is . re a¢ . FLOnn)rz*&= e-fL sMaley <br /> — <br /> tj l� rJ / <br /> lj o <br /> I recommend: Approval Denial Continuance ❑ Inspector: <br /> Signature <br /> Suuervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 Check OH List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> LH 06 06 Report 47201 September 26,2017 <br />