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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012104 <br /> DATE RECEIVED by EHD: January 02,2019 APPL#: PA-1800324 <br /> Referral Agency STAFF CONTACT FRANK GIRARDI PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Fri, January 18, 2019 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 150 N SINCLAIR AVE, STOCKTON r-4� 6—A.(&S APN : 15902010 <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 ctiol/n(,jetc� <br /> Public Water: Cj "`� A r Public Sewer: j� <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: p S <br /> L 0, , l96 <br /> Y1 1 ^ t , 6r <br /> o r 44 M ,t4A r tJ-t✓ -t' "o r ��Q •:" MG'P <br /> I recommend:I Approval � Denia Continuance Inspector: I"r' <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: Lbyl OY� W <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A 11 Che lt ff L ist7 Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> 1'FI 06 06 IZcpnn 47201 January 02,2019 <br />