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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012666 <br /> DATE RECEIVED by EHD: December 02,2019 APPL#: PA-1900223 <br /> Referral Agency STAFF CONTACT. STEPHANIE STOWERS PE : 2663 <br /> VARIANCE(VR) <br /> COMPLETE&SUBMIT BY: Fri, December 6, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 1601 E HAZELTON AVE, STOCKTON APN: 15505003, 15505004, 15505005 <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: (NL Public Sewer: ( ��`'� o� sT o t.1 <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: �Evs <br /> 111)1) kn T ih L1lkev�--V A_rJP Sol L S A-PA iJ"4-1' ZJV (q Q)d <br /> N 0 (y f-fit, C PQ S F il T L(. A SIS T t-:\A OA) Fit-t' <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 /> A 11 h k Off List: Proofread Report? Correct LAND USE#'? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 December 03,2019 <br />