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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012361 <br /> DATE RECEIVED by EHD: May 28,2019 APPL#: PA-1700039 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, June 13, 2019 <br /> Assigned to : EE0009825 AFONSICAIA <br /> SITE ADDRESS: 6701 E HWY 4 , STOCKTON 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: No Vle. Public Sewer: Avo yLe <br /> Name of urveyorName of System �J <br /> SUMMARY OR COMMENTS: ire/1✓ Yl 6 / 13/ <br /> 13 �(/ Q 3 00 <br /> K �r�` u!(e- g [2- (tl g 4 o- 60 e <br /> X(A'-oY1= 4+k'LoU.i-e— r W PinC ooh �t <br /> r a-ye— L OIC S !:�-G O ' 40 Ne o i� r 0 C SSS . <br /> I recommend: Approval F-1 Denial 1-1 Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> zj <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II heck Off List: Proofread Report? Correct LAND USE#`? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 June 06,2019 <br />