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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011964 <br /> DATE RECEIVED by EHD: September 28,2018 APPL#: PA-1800254 <br /> Referral Agency STAFF CONTACT CHRISTINE LUCKASEN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, October 16, 2018 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 2900 E FREMONT ST, STOCKTON APN: 14342050, 14342051, 14342053 <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, locationof h se, wind direction, etc.... <br /> Public Water: CGwog.��/L rQ c( i l� Public Sewer: SSS C eryei l J <br /> Name of Purveyor �� Name of System <br /> SUMMARY OR COMMENTS: <br /> Mo 00). I No W r s <br /> MUL <br /> Nv N►�f d i e Mf�s n v �e j <br /> e..r'A . <br /> v✓ 2 b O a Z <br /> S; 4 /r <br /> I recommend: Approval ❑ Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 6 <br /> 4, 1 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: 0z Y z lily/ <br /> OA It Check OH List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 September 28,2018 <br />