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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012967 <br /> DATE RECEIVED by EHD: January 14,2020 APPL#: PA-1900305 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE&SUBMIT BY: Thu, January 30, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 1748 S MARIPOSA RD, STOCKTON APN : 17304003, 17304004, 17304076 <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: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: t, I,N X73' aq-ce3 .dd lvu / 7L[[< S, /1�!!/r/'/�l�s.s ,��, �rD� /2J-c3Y -47 <br /> /7S,�S /0 a//'/'a/ I-1W l Zj-aH- y741 �c461"Otl /;1 94 .S' Nla/� /ao -4 <br /> --A rx 1 173- a4-070 AaJ .# a Ak nolle r,eW n!Ji-eW G1✓`,ti S' /,I, q- y6 - Ld!� <br /> * i (o e- [ �',+� ataC.l�� L.v�1.--"t aWp1' 1v-A-` <br /> NAL v..C_s& 't d /5c. ,,/4±`y.�- <br /> I recommend: Approval ❑ Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: zl/y <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 January 22,2020 <br />