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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011390 <br /> DATE RECEIVED by EHD: June 09,2017 APPL#: PA-1700020 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, July 4, 2017 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 9982 N PEZZI RD, STOCKTON APN : 08902052 <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: _ f4 <br /> D.L �z Ecz�J l" ,5-- <br /> /'�-f'r�.42c3s►s it�7 �1 Fi�'s7<� >,z��S �- e[G?�zy �<sza-✓b sc-3�zr�5�Kr2�ts. <br /> • ,c.�-�ice,�za.�. «s7�,��L<c�����t.Ji,.�->�.�«� . <br /> — TZ��yryn�uHtzr <br /> 6�- <br /> I recommend: Approval Denial 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 /> FH 06 06 Report#7201 June 12,2017 <br />