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t NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500012737 <br /> DATE RECEIVED by EHD: December 27,2019 APPL#: PA-1900301 Pre-Application <br /> Referral Agency STAFF CONTACT. TEDDIE HERNANDEZ PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE&SUBMIT BY: Thu, January 30, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 1835 S B ST, STOCKTON APN : 16918011 <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: (,P&— �, �� Public Sewer: S�n c V--`L't>S-j <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: SOg60"A (NP�J�—U <br /> e:QQQ-D�6� CD Q__hlA l�S`a41L k�5�1�2(n �l D lA S G- <br /> 0 F W C�� <br /> Lo���t�S.oNS PylbLVA-- S� Pt"f <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 ck Off List: Proofread Report? Correct LAND USE#'? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 December 30,2019 <br />