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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011264 <br /> DATE RECEIVED by EHD: March 10,2017 APPL#: PA-0600062 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE&SUBMIT BY: Tue, April 4, 2017 *T4p�,e 5 <br /> Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 3704 E MINER AVE, STOCKTON APN : 14335019,20,21,22 <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 /> 41 Q5 o 4-i> -ck,-W/Z-ee-i K ex� ge C:Wnq.i'R3 1:5 Z4-7& A2✓ <br /> I recommend: Approval Denial Continuance Inspector- <br /> Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA II Check Off List, Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 March 10,2017 <br />