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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009706 <br /> DATE RECEIVED by EHD: July 29,2013 APPL#: PA-1300125 <br /> Referral Agency STAFF CONTACT: CORINNE E KING PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, August 20, 2013 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 2454 N TEEPEE DR, STOCKTON APN : 13208009 <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: _ C4Z�_5 f rl/�5 <br /> i snE clssszHl <br /> 7s�€/344-- 3 !-s <br /> kk)Zzz:OZ- (iQA'Z' m <br /> �BG1[i t.s4-2�1s � /rYcc/f13[�.'✓ZL,.=�1�F-. <br /> /67��r•TLJ�t'/.��lE� <br /> 1 recommend: Approval Denial Continuance ❑ Inspector: - <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 04- : A II 01 <br /> 6 ( 1 •: <br /> �- II • � 3 (al <br /> SUPERVISOR/LEAD SENIOR Approval: IM - J,a p-c.t Date:MEW / <br /> liz <br /> — �, t , <br /> r <br /> EH 06 06 Report 47201 <br /> July 29.201 <br />