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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009034 <br /> DATE RECEIVED by EIiD: January 20,2012 APPL#: PA-1000091 TE <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, February 14, 2012 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 431 E SPERRY AVE, STOCKTON APN : 17728036 <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 /> 111,1,4 IZ:--' <br /> / Hv7 � <br /> I recommend: Approval Denial Continuance Inspector. =? <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> O4� P �O� 2 <br /> SUPERVISOR/LEAD SENIOR Approval: J Date: <br /> OA lI Check ON List: Proofread Report? Correct LAND CSF t! ,— <br /> Correct CONDITION(S)? Log ed in LAND USE Book? <br /> EH 06 06 Report#7201 <br /> January 23,2012 <br />