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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011201 <br /> DATE RECEIVED by EHD: January 25,2017 APPL#: PA-0500543 <br /> Referral Agency STAFF CONTACT: ALISA GOULART PE : 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE& SUBMIT BY: Tue, February 14, 2017 Tine FjLtenyr}.^ <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 5113 E MAIN ST, STOCKTON APN: 15910012 <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 /> �jZ�/h��+ Z�Q lc <br /> ill et-- a.D ' a' /,u/zZ& AeA�61-�X:m <br /> I recommend: Approval Denial El Continuance Inspector: �1 <br /> iQnature <br /> Suoervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 Check Off List Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 January 25,2017 <br />