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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011713 <br /> DATE RECEIVED by EHD: March 20,2018 APPL#: PA-1600170 <br /> Referral Agency STAFF CONTACT. MEGAN AGUIRRE PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE&SUBMIT BY: Tue, April 3, 2018 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 4750E MARIPOSA RD, STOCKTON` K5;�'S �lQ APN : 17916020 <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 ction, etc.... ^ / <br /> Public Water: X Q Public Sewer: /V( r' Q" " <br /> Name of Purveyor � �j Name of SystemII n <br /> UMMARY OR COMMENTS: pwnM�� u S • %4 c`/ l y a �D`t / roj-4 x N+I I CM6 I,jc vi, CQYf 13coo � <br /> AA vs-R- mo s> kL .( -er'sr <br /> rbc i v c t Ljts y r a v it Pan) <br /> S is ' r 4R O k1- /j09- A d S ow►�or <br /> SPd LP bWor S LiA A V h2vJ r lkba"4 , -Q )((VG Ino03tulel� <br /> tS -C <br /> WOE AUvr <br /> I recommend. Approval Denial Continuance Inspector: <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check OH List: Proofread ReportI Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> El 106 06 Report#7201 March 20,2018 <br />