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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009228 <br /> DATE RECEIVED by EHD: June 11,2012 APPL#: PA-1200103 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 11176 E HWY 26 , STOCKTON APN: 10302004 <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 /> /G /G <br /> ngAF C�Z L� ins tuts L-6J� Ja,c ct.✓Pr./.u�7�a N� lr IST ) �� Z<�`/ iJc <br /> ,,)A ! J 7G l�'�.4r�As✓Cciift�iQ�. <br /> b- Cc�Ls <br /> I recommend: Approval Denial Continuance ❑ Inspector: <br /> � Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> c <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA Il Check Off List: Proofread Report? Correct LAND USE#7 <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 June 11,2012 <br />