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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012268 <br /> DATE RECEIVED by EHD: May 28,2019 APPL#: PA-1900046 <br /> Referral Agency STAFF CONTACT. TEDDIE HERNANDEZ PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, June 13, 2019 <br /> Assigned to : EE0009833 KAUR <br /> SITE ADDRESS: 1123 N JACK TONE RD, STOCKTON APN : 10320008 <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: I V A- Public Sewer: tj '- <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> k 1-"' WCIS f-DLkY\6( Si - C, <br /> visit (�' I 18 IIq <br /> hs r,y v P-- 1 W <br /> �Tht, Wejd i�,a S h 0 PS ti b6 rn Gky-)d , fty cu, Ll-'V � Y PSt'ron m a Y <br /> UO YZ -P-c ! n 1u ins 1+e C <br /> I recommend: Approval Denial F] Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A 1I h k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 30,2019 <br />