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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011774 <br /> DATE RECEIVED by EHD: April23,2018 APPL#: PA-1800094 <br /> Referral Agency STAFF CONTACT. ALISA GOULART PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE&SUBMIT BY: Wed, May 16, 2018 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 3401 E CLARK DR, STOCKTON 3 APN : 17917125, 17917129 <br /> In completing the Land Use investigation, draw all Public l4ealth 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.... e n <br /> Public Water: 0 p y,Q_. Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: C� <br /> Z, r � 0 P,YVj Sri. /a I SPC <br /> PO voO 's ?Z� I : (`"n D, / Qe� I+ r - P Ir 'n U L floc <br /> r,,Q a 0-Y- C( -Piv r ac. ra s <br /> Welk, w n Ne� d- ofd 3331 poo Z 3=koOu o Seri iC �. <br /> 4 S 2 Pcfyu 4 .- 0A a. �?ru;a are 12fuc ,rv; <br /> 00 �54- <br /> I recommend: Approval F-1 Denial Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Dale: S yj <br /> OA It Check Off List7 Proofread Report? V Correct LAND USE '? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 April 26,2018 <br />