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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORDED: SU0011532 <br /> DATE RECEIVED by EHD: October 09,2017 APPL#: PA-1700236 <br /> Referral Agency STAFF CONTACT' MEGAN AGUIRRE PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, October 31, 2077 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 3928 E HAMMER LN, STOCKTON APN: 13003012& 13 <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 /> n4- <br /> C Zo S <br /> I recommend: Approval ❑ Denial ❑ Continuance Inspector: <br /> Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 k N List., Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 October 11,2017 <br />