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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011461 <br /> DATE RECEIVED by EHD: August 11,2017 APPL#: PA-1700124 <br /> Referral Agency STAFF CONTACT. RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, August 18, 2017 <br /> x-/60 Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 5412 S MAYBECK RD, STOCKTON APN : 16205007 <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 /> I recommend: Approval ❑ Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> cn t u�c e� c <br /> 17A P <br /> TITYKAA, ' <br /> 2 deW <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> AII heck Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> FH 06 06 Report 47201 Aue st 14,2017 <br />