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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012631 <br /> DATE RECEIVED by EHD: November 04,2019 APPL#: PA-1900225 <br /> Referral Agency STAFF CONTACT. RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, November 8, 2019 <br /> Assigned to: EE0000418 KITH <br /> SITE ADDRESS: 2868 N BURGE RD, STOCKTON APN : 08908069, 08908073 <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: '/D N fi Public Sewer: /U o N t <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> iRS Gtr TIA/I LF <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A II Check Off List- Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)'? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 November 04,2019 <br />