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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010623 <br /> DATE RECEIVED by ERD: September 08,2015 APPL#: PA-1500172 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2690 <br /> 5 LOT LINE ADJUSTMENT(LA) <br /> COMPLETE At SUBMIT BY: <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 4224 W RIVIERA DR, STOCKTON APN : 10904027 28 <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 /> -- c:�R912eng– .✓Z.�rS 44L*?(-fcf-zC'C2-1 crni� �< .4— i e� lhf«6r�s ca✓,dc zc� <br /> 7,;) .r?113G4.?, <br /> y��a. <br /> 1 Q� 7.�ft�ys�. ,uo ee�/e�e� � T�int ot/zHrs. uefz�J <br /> I recommend: Approval Denial ❑ Continuance ❑ Inspect _ <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 11 <br /> SUPERVISOR/LEAD SENIOR Approval: , Date: S <br /> Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 September 09,2015 <br />