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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011425 <br /> DATE RECEIVED by EHD: July 17,2017 APPL#: PA-1700112 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, August 1, 2017 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 9355 W HWY 4 , STOCKTON APN : 13109021 <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: <br /> .CJ?� Ci.�7a JQ. o►s�r/5 uc C� �/C6z.✓l�L� X71 <br /> -71-G��rnnIL,l.49Ft-Ica_ <br /> I recommend: Approval 2r Denial ContinuanceEl Inspect i" <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 5 <br /> 6 <br /> SUPERVISOR/LEAD SENIOR Approval: -� Date: <br /> A II Check Off List: Proofread Report? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 July 18,2017 <br />