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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br />LAND USE REPORT <br />DATE RECEIVED by EHD: December 16, 2011 <br />Referral Agency STAFF CONTACT: III % C��R F <br />COMPLETE & SUBMIT BY: �A - n <br />RECORD ID: SU0009002 <br />APPL #: PA -1100225 <br />PE : 2690 <br />LOT LINE ADJUSTMENT (LA) <br />Assigned to : EE0004045 TASIOPOULOS <br />SITE ADDRESS: 8034 W HOWARD RD, STOCKTON APN : 18921003 26 <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, win `on, etc.... <br />Public Water:} Public Sewer: "�- <br />Name of Purveyor Name of System <br />SUMMARY OR COMMENTS: <br />I recommend: Approval ® Denial ElContinuanceInspecto -� <br />�SignSture <br />Supervisor/Lead Senior COMMENTS: <br />62) <br />SUPERVISOR/LEAD SENIOR <br />Date: 12— 1 Z24 I/ <br />EH 06 06 Report #7201 December 16, 2011 <br />