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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009414 <br /> DATE RECEIVED by ERD: November 13,2012 APPL#: PA-1200222 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: ASA�A <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 3505 E MUNFORD AVE, STOCKTON APN : 17955013 15 16 17 <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: r—,,1; FCYl0j : 2C2;0 (2-j G4t'L(; �iw X51 /1[2. G.�Zc f�a>z1 c5 <br /> /�r42 0/ Z^15 �.✓ cc,nnP� .� ..i �:v c�/ tea A✓ <br /> GI�'%G/Gr//.14�t�ftcs�Pv[.o�. c:�Jrlsf it �='pZs� sYSlc�'�J �` r9-GuE�L. Z�ft`I/i1`37�s143a2�r <br /> U� 0776 4e77 /-f;, AZ--2./-)'*7kfW-92 siciyt�e <br /> I recommend: Approval E Denial F Continuance ❑ Inspecto <br /> Signature <br /> Supervisor/Lead Senior COMMgNTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: 111A— - Date: Ile <br /> OA 0 Check Off List Proofread Repo'? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 November 13.201_ <br />