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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012606 <br /> DATE RECEIVED by EHD: October 16,2019 APPL#: PA-1900223 <br /> Referral Agency STAFF CONTACT! STEPHANIE STOWERS PE : 2663 <br /> VARIANCE(VR) <br /> COMPLETE&SUBMIT BY: Thu, October 31, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 1601 E HAZELTON AVE, STOCKTON APN: 15505004 <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.... e, Y;/ ­,14- <br /> Public Water: ✓ y r c �,,,.r f�/' Public Sewer: c t - <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: 14, «'t <br /> I recommend: Approval ❑ Denial F-1 Continuance F� Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: J <br /> k Off Li Proofread Report? VCorrect LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 16,2019 <br />