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NOTE: PULL ALL , -RMITS (Septic, Well, etc.) MAKE L—PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008977 <br /> DATE RECEIVED by EHD: November 21,2011 APPL#: PA-1100219 <br /> Referral Agency STAFF CONTACT: JOHN L FUNDERBURG PE: 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, December 6, 2011 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 9990 N LOWER SACRAMENTO RD, STOCKTON APN : 08402002 <br /> [n 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 /> 'F iaE Yd��icL7_) ' ,ULJ <br /> 7/L 2: —z,� S.ULa's sZuk i PL�� <br /> tcrri %�,49Zc---;A9E! 7 �,N1,EtA 1: 4/ Y!/�Jis c�tExzu� <br /> L-ZniC�S�i�{j�Zay.i- <br /> ' �-✓-'�LC��L �L GJa' lrY Zr /SSc��- CF CGAsG'f-�Lv G� 1� �LTj� <br /> [ recommend: Approval Denial Continuance El Inspector: <br /> Signature <br /> Supervisor/L'eaad Senior COMMENTS: <br /> (r// `t <br /> 1,6 1 a2 ' n'? <br /> SUPERVISOR/ LEAD SLNIOR Approval: <br /> OA If Check Off List: - Proofread Report' - Correct LAND IISE#? <br /> Conect C;ONDII-ION(S)? Log-led in LAND USE Book`s <br /> EH 06 06 Report#7201 <br /> November 21,2011 <br />