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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012496 <br /> DATE RECEIVED by EHD: August 19,2019 APPL#: PA-1900181 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> (k5 �OMPLETE&SUBMIT BY: Thu, September 12, 2019 <br /> (f Assigned to : EE0007380 SHIH <br /> SITE ADDRESS: 4343 N WILSON WAY, STOCKTON APN: 13202022 <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: �{ t�� Public Sewer: c,4y &4 S+ <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: O-4 ,L 14Piy /3 L-G z -o L 2 kcu g o.•%c- dd ss V 223 �/ w•jra.. <br /> Wu'�'• ��y dui /�ute /jw� ilG� �z'�C�ck..��=�-v i'�rM'� er. �'/�; <br /> o,� ���,� ��a•t is 3v `/�S� L-i -d ? t4 fl dme, .elf k.aA-k 0-tc <br /> -- s0 iii':: -�m6ari !JJt-- i►'Y� 9���3! <br /> svet.� Eli 3I« See �4�`� ru�Fv�F4`�4 • <br /> 7y' 5&N of <br /> I recommend: Approval F-1 Denial F-1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> [QA1 h k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 21,2019 <br />