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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012638 <br /> DATE RECEIVED by EHD: November 14,2019 APPL#: PA-1900250 Pre-Application <br /> Referral Agency STAFF CONTACT. RICK GRIFFIN PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE&SUBMIT BY: Thu, November 28, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 4732 N ALPINE RD, STOCKTON APN: 08922022 <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: ON e Public Sewer: MAI <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: N OT-' ,1 e 0 &M P vo`I qS � n►r) ( u��y nn�c�¢� <br /> 2 L-2'+-,-"5 4- PUMP. <br /> ND 1--7- P7 S�- Pf LL rWNIL. <br /> I recommend: Approval F-1 Denial F1 Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: / A <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 November 14,2019 <br />