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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORDED: SU0011283 <br /> DATE RECEIVED by EHD: Marcb 23,2017 APPL#: PA-0500469 <br /> Referral Agency STAFF CONTACT: ALISA GOULART PE : 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE&SUBMIT BY: Tue, April 78, 2077 r�^� Gten'ito✓1 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 5055 E MAIN ST, STOCKTON APN : 15910007,SEE ENVISION <br /> FOR Hebb bfsT-- <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 /> ��nryrr�xl�4Zc��c.' <br /> ��— <br /> /1 t7�7d� r/c2 p <br /> I recommend: Approval Denial ❑ Continuance Inspecto <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off Li : Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 March 24 2017 <br />