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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012166 <br /> DATE RECEIVED by EHD: February 08,2019 APPL#. PA-1900012 <br /> Referral Agency STAFF CONTACT' FRANK GIRARDI PE : 2631 <br /> SITE APPROVAL MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, February 28, 2019 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 1811 N REPORT AVE, STOCKTON APN : 14314034 <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.... 5 C, <br /> Public Water: 4 Public Sewer: fJ <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> --ZO 0 `k e <br /> I recommend: Approval Denial Continuance Inspector: (Jy1Q <br /> sig a4 tura <br /> Suoervisor/Lead Senior COMMENTS: �/ <br /> Z r4 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 he k ff Li • Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 February 11,2019 <br />