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• s <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SUOOII187 <br /> DATE RECEIVED by EHD: January 13,2017 APPL#: PA-1700006 Pre-Application <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: Wed, January 25, 2017 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 4100 S HWY 99 /E FRONTAGE RD, STOCKTON APN : 17917249 <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 P eyor Name of System <br /> SUMMARY OR COMMENTS: <br /> mesal r /-1 ds-! 0Z 02 103 0 <br /> 22 <br /> /'% .r rte/ � z:U sv�i•t /S�i-r � ��- Z`'3'� <br /> I recommend: ApprovalDeniAr Continuance Inspecto <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> ,d - . . . • u p u � <br /> "0 <br /> D ,o� T �1: l sir S r�crC�iyc� . �Awt wt�cl In v" Z! <br /> 21 <br /> ;a <br /> 44 OLI <br /> 2% v <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 97201 January 13,2017 <br />