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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011935 <br /> DATE RECEIVED by EHD: September 11,2018 APPL#: PA-1600109 <br /> Referral Agency STAFF CONTACT. MEGAN E AGUIRRE PE : 2690 Q <br /> LOT LINE ADJUSTMENT( A) c) <br /> COMPLETE& SUBMIT BY: Fri, September 21, 2018 l" F)(040 n <br /> to : EE0009488 WONG <br /> SITE ADDRESS: 7867 W HOUSE RD, STOCKTO �` PN : 1312201 16 8 <br /> In completing the Land Use investigation, draw all Public Health a ors on the exhibit (i.e., sewage d' osal, ater <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, aw complete map of wing lation <br /> density, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: N�p <br /> Name of Purveyor Name of SLe�:Ss <br /> SUMMARY R COMMENTS: V( E� i <br /> d N, 410 un 66V <br /> JU <br /> I recommend: Approval ❑ Denial F] Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List; Proofread Report?_y Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 12,2018 <br />