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r <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012154 <br /> DATE RECEIVED by EHD: February 14,2019 APPL#: PA-1900007 <br /> Referral Agency STAFF CONTACT TEDDIE HERNANDEZ PE : 2631 <br /> j( �,n_,^ SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Thu, February 28, 2019 -`�''3 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 10300 N HWY 99 , STOCKTON d� API : 08607044 N J-f <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, ater " <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: M P Public Sewer: <br /> Name,of Purveyor Name of System <br /> SUMMARY OR COMMENTS: � (�o� : mo z <br /> A <br /> o � <br /> I recommend: Approval Denial Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> AA <br /> SUPERVISOR/LEAD SENIOR Approval: � Date: <br /> 2 _ <br /> All h k ff Li : Proofread Report? V Correct LAND USE 9 9 <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 February 19,2019 <br />