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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012729 <br /> DATE RECEIVED by EHD: December 26,2019 APPL#: PA-1900287 <br /> Referral Agency STAFF CONTACP. STEPHANIE STOWERS PE : 2663 <br /> VARIANCE(VR) <br /> COMPLETE&SUBMIT BY: Thu, January 9, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 2720 N WILCOX RD, STOCKTON APN : 08710076 <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: C-SPC- \5 Public Sewer: 'Q-SC'r - 1 5 <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> (k ST <br /> O N 5l 0 R <br /> `l• QCQ�f�t.'W Q��/ N��J►G►L l A�f( � J f7 <br /> 5M jenx Qwo 3 11�k A000 <br /> f4-A0 Por MCI L <br /> I recommend: Approval F-1 Denial ❑ 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 27,2019 <br />