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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011479 <br /> DATE RECEIVED by EHD: August 28,2017 APPL#: PA-1700175 <br /> Referral Agency STAFF CONTACT JOHN FUNDERBURG PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, September 19, 2017 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 2919 E FRENCH CAMP RD, STOCKTON APN : 17710005 <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: ObK o Public Sewer: Iv v W <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: ApprovakYl Denial ❑ Continuance ❑ Inspector: <br /> • Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> i <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OAII Check ff List: Proofread Report? Correct LAND USE#'? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 29,2017 <br />