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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011763 <br /> DATE RECEIVED by EHD: Apt-020,2018 APPL#: PA-1800043 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: Tue, May 8, 2018 <br /> Assigned to : EE0009488 WONG I <br /> SITE ADDRESS: 2510 S HWY 99 , STOCKTOP APN : 17130024 <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....l.� <br /> Public Water: cj ( h 1 Q„4j Public Sewer: N#74� <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> - 1 `0�4Z - 1 WO aq 0& dlfi <br /> i tIDC- ok 4kc 4A <br /> r ,r I ,A- <br /> 1 <br /> l �f <br /> i recommend: Approval F-1 Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: A <br /> II h kff Li : Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)?--I Logged in LAND USE Book? <br /> Ell 06 06 Report#7201 April 20,2018 <br />