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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011110 <br /> DATE RECEIVED by EHD: October 31,2016 APPL#: PA-1600252 <br /> Referral Agency STAFF CONTACT: ALISA GOULART PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, November 4, 2016 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 5382 E MAIN ST, STOCKTON APN : 17328027 <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: n�«�. 2� <br /> --13�/Zc TaK/•l�'�Ti�l' <br /> ;.�JL'� �Zi C�tX�/S75�1�Zr/!�c d1GErails� <br /> • wh / .c-�• oL U% Go4sT�/SSct�l.� G.,�—,eE .�Ic� . <br /> !Yl �7( 71If� /6 gh2: cst/merit A9? 15f7� <br /> I recommend: Approval Denial Continuance Inspect <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> o ItaA1- <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A/ Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 November 01,2016 <br />