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c <br /> NOTE, PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012105 <br /> DATE RECEIVED by EHD: December 28,2018 APPL#: PA-1800325 <br /> Referral Agency STAFF CONTACT CHRISTINE LUCKASEN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Fri, January 18, 2019 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 3416 N NEWTON RD, STOCKTON APN : 13206007 <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 di *0 etc.... p <br /> Public Water: �(�'� ( 0,�j� {/lit publl'' Sewer: Na v'� <br /> Name of Purveyorn _ Name of System <br /> SUMMARY OR COMMENTS: r� 1 Z_ Z0 ��e ZoO <br /> 40 �� t-A V,I r11 i C. <br /> II <br /> 0. o 6,v <br /> ^ l <br /> 71—(' eJyy— In e r d r-1:1/Ie o u e'r' <br /> I recommend: Approval ❑ Denial ❑ Continuance El Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> Z <br /> SUPERVISOR/LEAD SENIOR Approval: ' Date: <br /> OA 1l h k N L' Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 December 28,2018 <br />