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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009048 <br /> DATE RECEIVED by EHD: January 27,2012 APPL#: PA-0900291 TE <br /> Referral Agency STAFF CONTACT: CORINNE E KING PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE & SUBMIT BY: Tue, February 14, 2012 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 11241 THORNTON RD, STOCKTON APN : 05520003 <br /> [n 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 /> At 0'.5-- Al-1 <br /> /7K&a h4X—Tyzlct 5� 2dlc� <br /> 1 recommend: Approval121' 1:1 0 Denial Continuance Inspector: <br /> Signature <br /> Supervisor/�LSea�d-Senior COMMENTS: e� <br /> i <br /> SUPERVISOR/LEAD SENIOR Approval: ._. Date• <br /> OA It Check Off List" Proofread ReportCorrect LAND USE# 9 <br /> Correct CONDITION(S)' Logged in LAND USE Book'? <br /> EH 06 06 Report 117201 <br /> January 30,2012 <br />