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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500009229 <br /> DATE RECEIVED by EFfD: June 11,2012 APPL#: PA-1200102 <br /> Referral Agency STAFF CONTACT: CORINNE E KING PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, June 18, 2012 Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 111 N ZUCKERMAN RD, STOCKTON APN: <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 /> 3ensity, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: _jlL� jZZ <br /> 11� LIQ• L. 1S7c`�liYliZS <br /> c4L yu"✓ 9s.Ul� mob >a4,A.a4� cc&-.7c. : <br /> Yrra-rt! <br /> /2Y7//ZrS L Cl' L� t <br /> /4(C,6�7 d 4:- C5;t/ZW4 eisr4sm' c 1 � SSS>L �✓? G[ � 1> SMS <br /> '-'Hes3 <br /> '4� 11:11k, (.c474- sW13 a— e A H- Pini v+a:n s12-Ja C- <e-rte..' <br /> (�Z c G - ZZ•YJ <br /> 1 recommend: Approval IJ Denial FJ Continuance F Inspecto <br /> Signature <br /> Supervisor/Lend Senior COMMENTS: <br /> nL <br /> - <br /> ; tio . ov <br /> lJ = b <br /> F 22y / <br /> LTERVISOR/ LEAD SENIOR Approval: - Date: l!' (. <br /> _OA 11 Check Off List: Proofread Rcport? ' � Conus LAND USE 9 ) _ <br /> Correct CONDI IION'(S)? Loeccd in LAND IISE Book'? ._ <br /> ,1.106 06 Report#7201 <br />