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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009055 <br /> DATE RECEIVED by EBD: February 06,2012 APPL#: PA-0800016 TE <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, February 14, 2012 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 3798 S HWY 99 , STOCKTON APN : 17917132 <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: j <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 41 OS- Ake- -4P,4Pc,*- s 4zz» � F izZ ,4-5 s—l/l /,t/ ZZ2tj_ <br /> 1 recommend: Approval El Denial F-1 Continuance El Inspector: <br /> Supervisor/Lead Senior COMMENTS: Signature <br /> 9 2-001V <br /> SUPERVISOR/LEAD SENIOR Approval: < <br /> Date: 2 z <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE 4 ') <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 <br /> February 07,2012 <br />