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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00009104 <br /> DATE RECEIVED by EHD: March 16,2012 APPL#: PA-1200033 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, April 3, 2012 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 2932 E WATERLOO RD, STOCKTON APN : 1431301617 <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 /> l3/2-3 20 <br /> Tl STil2clS D �i7f- <ciThtA 'q�4ez5c irsS i:-5, ee n�Try?rn 142dD '!/rifg2�<c <br /> �✓ .�!! � 5rn7i' T.�.i /�S7n� 4 mr71�7 l��7Z ) .I7oz 1-42 47 /id i'2a t <br /> 744 �*W2947c-- Z i <br /> I recomme d: Approval E2, Denial 0 Continuance Inspect <br /> Supe <br /> rvisor/Lead Senior COMMENTS: Signature <br /> � q <br /> SLPE,RVISOR/LEAD SENIOR Approval: �_�--, Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE# <br /> Correct CONDITION(S)? Logged in LAND.USE Book? <br /> Eli 06 06 Report 47201 March 19,2012 <br />