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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012016 <br /> DATE RECEIVED by EHD: October I6,2018 APPL 9. PA-1600184 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2626 <br /> USE PERMIT-'GENERAL(UP) <br /> COMPLETE &SUBMIT BY: Thu, November 1, 2018 T�/ F,v ` 9(01 <br /> cj-n.t" Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 9776'/3�N HWY 99/W FRONTAGE RD, STOCKTON APN: 12429006, 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: N�. Public Sewer: /Jokk <br /> Name of Purveyor_ +1 t ame of System ro`ev <br /> SUMMARY ORCOMMENTS: S (�(' S —1 � l I 1A3 <br /> 12405 gZ <br /> C eLA r ptl,,; <br /> k <br /> NO C <br /> o l v <br /> 1 recommend: Approval Denial Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead ervisor/Lead Senior COMMENTS: <br /> d' <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A 11 List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 October 17,2018 <br />