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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011820 <br /> DATE RECEIVED by EIID: June 14,2018 APPL#: PA-1800147 <br /> Referral Agency STAFF CONTACT RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 504 N GOLDEN GATE AVE, STOCKTON APN: 14341035 <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 shg population <br /> density, location of hZZ <br /> . d direction, etc.... S SS u <br /> Public Water: W ik l Public Sewer: <br /> Name of Purveyor Name of Syste <br /> SUMMARY OR COMMENTS: — 5 e d <br /> ca lip <br /> Wn. <br /> S lypw 1^rA Ck n644LV j ryP_' <br /> SUS I <br /> ujill Vol <br /> k6M.CQ ,IV\, <o"la :AA- <br /> I recommend: Approva Denial Continuance ElInspector: <br /> Signature <br /> Sur)ervisor/Lead Senior COMMENTS: <br /> a <br /> g <br /> SUPERVISOR/LEAD SENIOR Approval: Date: Lv 7-6 <br /> A II heck ff Li Proofread Report? Correct LAND USE#'? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Ione 15,2018 <br />