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NOTE: PULL ALL-roERMITS (Septic, Well, etc.) MAKE CdP1ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008695 <br /> DATE RECEIVED by EUD: March 25,2011 APPL#: PA-1100047 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2606 <br /> EXCAVATION-AGRICULTURAL(AX <br /> COMPLETE& SUBMIT BY: Tue, April 19, 2011 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 7700 W JACOBS RD, STOCKTON APN: 1312009 <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 /> „�lr� _ rcacf. <br /> ze- <br /> !r/LL�i/ ! ✓ sr <br /> 11 <br /> C� <br /> 1-47+J; <br /> [ recommend: ApprovalEl 1:1 <br /> Denial Continuance Inspector: <br /> Supervisor/Lead Senior COMMENTS: Signature <br /> �y <br /> 6 rZ - <br /> 2. '03 <br /> 06) R <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> rypy °FZ .:. <br /> "°Y' rYY �M."i <br /> CA 11 Check Ulf Lrst Ea�� x �rect' ANI>II ;.` <br /> e jY n ( try{y r. �j1 ; q ;s9 :f: <br /> t...C °8�,. �•.RE a�8�ti�rr�i�i i.i�iV�li�a�.�l r' i "" %� i % y� E Y• }� <br /> >.-: s... ...u....., .:.,. a:,�„ -. .?x.'�:.H,,w'...,. '.�;..... . �t...i5��il�Tl�., � +�i06.1{.`� <br /> EH 06 06 Report 97201 <br /> March 30,2011 <br />