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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013718 <br /> DATE RECEIVED by EHD: October 23,2020 APPL#: PA-1900284 <br /> Referral Agency STAFF CONTACT TEDDIE HERNANDEZ PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE&SUBMIT BY: Fri, November 6, 2020 <br /> Assigned to: EE0007380 SHIN <br /> SITE ADDRESS: 4010 E FREMONT ST, STOCKTON APN: 14333029 <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: Cad „,fey Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> /Piiv i'u..Q �o.,L�-v�rgAa 7Q0 3-72-64) . <br /> l'��,,,,,�0 <br /> f�jJ�i`< k lw ft-� l�of Al, 4 U•. T+ l r. 4!!C pe.^.,r r1J o.w �eoKe <br /> oyt'�rG,,t.� SrHcr <br /> e)pt4 <br /> I recommend: Approval ❑ Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 heck Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 26,2020 <br />