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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012075 <br /> DATE RECEIVED by EHD: November 30,2018 APPL#: PA-1800303 <br /> Referral Agency STAFF CONTACT CHRISTINE LUCKASEN PE : 2685 <br /> GP TEXT AMENDMENT-MINOR(TA) <br /> COMPLETE&SUBMIT BY: Thu, December 20, 2018 <br /> Assigned to : EE0007380 SHIN <br /> SITE ADDRESS: 1810 E HAZELTON AVE, STOCKTON APN : 15518002 <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: <br /> I recommend: Approval F� Denial F-1 Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> z <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> [QA11 h k Off Li • Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 December 05,2018 <br />