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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010995 <br /> DATE RECEIVED by EHD: August 01,2016 APPL#: PA-1600183 <br /> Referral Agency STAFF CONTACT: JENNIFER JOLLEY PE : 2666 <br /> REZONING 5+acres(ZR) <br /> COMPLETE&SUBMIT BY: Tue, August 16, 2016 Assigned to: ES0005944 ESCOTTO <br /> SITE ADDRESS: 9763 N HWY 99 /W FRONTAGE RD, STOCKTON APN : 12429005 <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: )) <br /> _'dj 66 LLJt D ArOM. G :;k/A/7Cckk An frA7 of <br /> 0 <br /> I recommend: Approval E2/ Denial 0 Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 1 <br /> o� � g� ht �L <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check OS List: Proofread Report? orrect LAND USE#'? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> August 01,2016 <br /> EH 06 06 Report 47201 <br />