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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010996 <br /> DATE RECEIVED by EHD: August 0l,2016 APPL#: PA-1600184 <br /> Referral Agency STAFF CONTACT: JENNIFER JOLLEY PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Tue, August 16, 2016 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 9763 N HWY 99/W FRONTAGE RD, STOCKTON APN: 12429005 tjtut00t <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: _ 4f <br /> r <br /> • ,�!$UG L�iF?6`1 fr SFz.a-� <s'.4*.-�[.dl��t�- To �E �SY'7cs <br /> ' !�L 7h�A[A' Cet/tC�L � 7i`L Ez��t<u TaEGl7ii� moi L �'..•'��� L.brr1�.4�'-},i,� <br /> A) 2y:D&F <br /> OS <br /> I recommend: Approval Denial ❑ Continuance Inspect <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> l <br /> 'e> <br /> X) rA: 0A, "��II �Lw-�Hr / S? E 45 <br /> --zA + <br /> IZi) l D :. .wyl��L }/�+�V _. ,11, YM ru✓l I.Jn1 <br /> 0 'a�: 03 - WN1 d�5hn1 -�Iu wl w•s" ¢twyb.- �o poltz <br /> A ,at <br /> roa tam <br /> Ccs ft 1 <br /> (y J Z� ami 1',ZWAWw -;� 01. tC CL CJ W 15`'L i5 �n e vSA ecJvt� a VwL�iG wr,y�t <br /> SUPERVISOR/LEAD SENIOR Approval: - Date: -ZA <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 97201 August 01,2016 <br />