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RU <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILIr St <br /> LAND USE REPORT RECORD ID: SU0011348 <br /> DATE RECEIVED by EHD: May 04,2017 ADPL#: PA-1700098 <br /> Referral Agency STAFF CONTACT. JOHN FUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Wed, May 3, 2017 <br /> A/19 Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 1481 S JACK TONE RD, STOCKTON APN : 10323013 <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 <br /> /�,-- // T � Name of System <br /> SUMMARY OR COMMENTS: —�GGc r7--Ji /CtA�-0- rJ /�Q z"f5 '4� <br /> -D�lsra� SyttS (�l9//� <br /> /242et2- -A�/ of 92- 2� c4a-T41y%J .4 .5--�Cwa- S�lsc� ifi�w a <br /> X41 11��6 140t5 X0 !2a�/W 4� Tdl�nfy�E <br /> I recommend: Approval ER"' Denial F Continuance Inspect <br /> Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 May 04,2017 <br />