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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012132 <br /> DATE RECEIVED by EtfD: December 28,2018 APPL#: PA-1700039 <br /> Referral Agency STAFF CONTACT. GIUSEPPE SANFILIPPO PE : 2631 <br /> SITJE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Fri, January 18, 2019 nm tq "`ton <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 6701 E HWY 4 , STOCKTON tv" APN : 10306013 <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: VPublic Sewer: /" 07"-k <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> /U/o S,S/N�s I, P .� 4 ti L�� QWC t.� �ss s . <br /> go A 1 -e2 rr— C u err <br /> I recommend: Approval ❑ Denial ❑ Continuance Inspector: <br /> Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A ll h k fft.ist, Proofread Report? Correct LAND USE# <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> 811 06 06 Report^7201 December 28,2018 <br />