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w <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012730 <br /> DATE RECEIVED by EHD: December 27,2019 APPL#: PA-1900263 <br /> Referral Agency STAFF CONTACP. FRANK GIRARDI PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, January 30, 2020 " <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 2940 E LOOMIS RD, STOCKTON APN: 17910006 <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: (-to, � )p� Public Sewer: 01(-- <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> PVN 2 �- 2 �J.> P �� 1A 00ct6� <br /> 'FDS <br /> I recommend: Approval F-1 Denial Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> r <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <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 December 30,2019 <br />