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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010860 <br /> DATE RECEIVED by EHD: April 18,2016 APPL#: PA-0600119 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE& SUBMIT BY: Tue, May 3, 2016 'Iio'c <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 3902 E GUERNSEY AVE, STOCKTON APN : 15714058 <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 /> s1J /X ,9Li cc�✓✓bzzce�lc� su•lu Rc`ec��xlu�J �i�sas fls szI7E� i✓Ti>�-/1C���z� <br /> J <br /> I recommend: Approval Denial ❑ Continuance Inspecto : <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: i Date: 5 <br /> OA 11 Check Off List Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 April 19,2016 <br />