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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010840 <br /> DATE RECEIVED by EHD: March 25,2016 APPL#: PA-1600060 <br /> Referral Agency STAFF CONTACT: MEGAN E AGUIRRE PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE&SUBMIT BY: wed, April 13, 2016 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 4445 E QUASHNICK RD, STOCKTON APN : 08602001 <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: _ �/16 n,^ /�, � ���/� /A ���Z <br /> S �IY<�i�Q5r7) ae�f I l /,! Ti- <br /> A) 24ao<7 Ty 7422 ��A 4 An/ /IGy�.9i✓,04 G/fpT.-O�ewne- <br /> /� Gzmme EzfJ zo I3G<s�9,n%6 #S Gy«i ur�s�,co <br /> 4j "rEY2i r Ai5 S6s/3SZ<!lGZcs,iereL <br /> 'A.e �<c��Sc-7�y4[_.�lst4+✓ !• rY l�`5/Gt�� <br /> I recommend: Approval DenialEl Continuance Inspect El <br /> AW,C9- Signature <br /> Suneervisor/Lead Senior COMMENTS: <br /> V <br /> J <br /> The S-04 � ee?jm / C . ta <br /> t <br /> Y (/1-G. It. r <br /> -jt4. <br /> � cw•LQ., a- <br /> 'I vL�a <br /> s a W k s u,-/A - I ti—jelm�� <br /> SUPERVISOR/ LEAD SENIOR Approval: - --- - Date: <br /> OA If Check Off List- proofread Report'? Correct LAND USE#? ` <br /> Correct CONDITION(S)? Logged in LAND USE Book? Jim <br /> EH 06 06 Report#7201 March 25,2016 <br />