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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORDED: SU0009346 <br /> DATE RECEIVED by EHD: September 14,2012 APPL#: PA-1200183 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE&SUBMIT BY: Tue, October 2, 2012 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 8372 S JACK TONE RD, STOCKTON APN : 18308005 <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: _ FILt'/lI—L�LBc�' �l�X�(�J(i�L 6 l'uY�(�Jl ��iS"rcl7M/7S <br /> Cf'$/r R/ LUCJt/A- rG /- 61duse,5m ae, <br /> A L� �• 4 L/ e,, 7eE L—Z-44& <br /> i <br /> /5C x 5 15 �' /i4c�`�JZG-T�lltdYN GSL// .>a/h'►i✓Z3�r L✓��a� T� Z/1Es�YiS�i.rS SE3�Zi� 5y5�-syr <br /> • 7!/c P/1�-tf -�,. ^Tip GFz7,�-✓.4•t/,4'1E�a �B .��xr/`' t ..4.,.-�u-r c/:sc7,�c <br /> Acis: z! '03 4 e) 2 2 e7-?- <br /> t recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> x'03 60 <br /> C 1 Zz �0 7 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> RoofYead Re ort? ? f <br /> OA li Check OH List: P Correct LAND USE# . <br /> Correct CONDLIION(S)? Logged in LAND USE Book" <br /> EH 06 06 Report#7201 <br /> September 14,2017 <br />