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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012659 <br /> DATE RECEIVED by ERD: November 20,2019 APPL#: PA-1900264 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, December 12, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 5480 N HWY 99 FRONTAGE RD, STOCKTON APN : 08703018,08703022,08703023 <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: No0. -- Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> ►�A� S �+C t� S�S f�;1� ��� �R a�� � .�-�vd�csc� M,u,�-�'-�-Pv� <br /> '1�'Qk��`�� t Q✓PP� T��F �1—c,�c 0�-- �Z.xl <br /> XC) DMIC- ,i�-4:jv r <br /> I recommend: Approval ❑ Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 heck Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 November 21,2019 <br />