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r <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013719 <br /> DATE RECEIVED by EHD: October 23,2020 APPL#: PA-2000173 <br /> Referral Agency STAFF CONTACT TEDDIE HERNANDEZ PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, October 30, 2020 <br /> Assigned to: EE0007380 SHIN <br /> SITE ADDRESS: 4676 N BURGE RD, STOCKTON APN: 08908043 <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: A/o,,c Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> — <br /> 104,1,-W o s'q- 0 g-y3 ur,&AW-r-C CI& 74�, 1U. Some spckih» . <br /> '�b�c+-P ,4,Ar✓ -,76'q-00t)- yY rf d'W V c e yy,y ,V. <br /> X4e�Ll1 qe fr4/ /y. 6L4,je <br /> aL, <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A II h ck 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 />