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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00009894 <br /> DATE RECEIVED by EHD: January 09,2014 APPL#: PA-1300220 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE: 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE &SUBMIT BY: Wed, January 29, 2074 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 7367 E MARIPOSA RD, STOCKTON APN: 17922004 <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 /> 7/ra✓ 5/�c C�;7�tinS 4 /_d1l 7lc�c_ eo✓7Fy✓J.tXs CF�i�cS ,� Lra�lia�i.cC< �F <br /> 46,eZ C :-P7iC e3=� s3ifIQ7LSi39t/r3�a �- <br /> s cl1.f�Ic3� <br /> CtYt.lJbrftr is is A r G9-fC��J��/it Ce_�Y»Fn� f�1ln.¢-7 7sr .�i/�<Hr rr e.�lis- !t i.� <br /> tin 7/.t SfS'k-� 4;E 7� .Cts rLs>�s 7r=tt�ry PX.jC--� <br /> I recommend: Approval 10 Denial El Continuance Inspecto <br /> Signature <br /> SunervisorlLead Senior COMMENTS: <br /> R <br /> `/t) c1 SAITIAJ i4t, eus62:4 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: Z �� <br /> A II Check H I i ' Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Loeged in LAND USE Bonk? <br /> I I I Uo On Kc nm::TO <br /> i January 10,2014 <br />