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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010997 <br /> DATE RECEIVED by EHD: August 04,2016 APPL 0: PA-1600184 <br /> Referral Agency STAFF CONTACT: JENNIFER JOLLEY PE : 2626 Rey-,"eA <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE& SUBMIT BY: Tue, August 76, 2076 <br /> Assigned to : EE0005944 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 /> 41 <br /> 6 zo -C� <br /> i recommend: Approval Denial Continuance Inspect <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A 11 Check Off List- Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 04,2016 <br />