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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013004 <br /> DATE RECEIVED by EHD: January 29,2020 APPL#: PA-2000009 <br /> Referral Agency STAFF CONTACT RICK GRIFFIN PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE&SUBMIT BY: Thu, February 27, 2020 <br /> Assigned to: EE0000418 KITH <br /> SITE ADDRESS: 1648 N SHAW RD, STOCKTON APN : 14326015 <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: rz:y- <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> Ito Lt&5r!,A" 1 50 P6- <br /> LL✓�-RL�,� <br /> 1S per- w F--avC- <br /> Znta z S R c aJ I n, <br /> I- R1wlV(A (nn1 Of A(a 6w,a <rr,1 r A.N G <br /> (nG.D TF L41 �2L`l`1� \ <br /> "X" Q Rbc t>L�� ;�,Q C� C SCJ C%G P. D; \C� ;_N r% ? <br /> I recommend: Approval ❑ Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Ch k Off List: Proofread Report? Correct LAND USE#? <br /> WWI <br /> Correct CONDITION(S)? Logged in LAND USE Book? _ <br /> EH 06 06 Report#7201 January 30,2020 <br />