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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00010364 <br /> DATE RECEIVED by EHD: January 16,2015 APPL#: PA-1500001 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE&SUBMIT BY: Wed, January 28, 2015 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 2900 E FREMONT ST, STOCKTON APN : 14342050 51 53 <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: _ `/46 A24.-d /2:24872 <br /> ;7%5 %/ 2 1 �Z5 LaL 7�.�5 ' �1-477c1�) -(5/57t�!� ��!/Ld7Y LfStS ' ALL ZiC G <br /> �x3lac Lz.J�c�Z ��c�?r /S fli/.f/c�h3L,c� <br /> I recommend: Approval �' Denial Continuance ❑ Inspecto <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> k Off List- Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 January 16,2015 <br />