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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013740 <br /> DATE RECEIVED by EHD: October 28,2020 APPL#: PA-2000070 <br /> Referral Agency STAFF CONTACT! GIUSEPPE SANFILIPPO PE : 2637 <br /> SPECIAL PURPOSE PLAN(PP) <br /> COMPLETE&SUBMIT BY: Wed, November 4, 2020 <br /> Assigned to: EE0007380 SHIIi <br /> SITE ADDRESS: 1525 N REPORT AVE, STOCKTON APN: 14317021 <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: mss s <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: _ � {aC(iwk—' c ��„r afso�.5c f� /� j9�i✓•JS/�--i7o-2/, <br /> -5-7-J7, /53 7, i S'-/qi SSS, /S�'l JS-7.3 N z� ,4rc , s A%fk*A-. <br /> /y, /1�Gbf t l9i+Q j rnS <br /> a,tA GG[�i►�vrC. �P/r u.++o � Ksd��t Hy /_� 1 �ft�P�Z ,�Li7•'� �•• %e <br /> lU.niw +� <br /> —e v p 4 - ('eo g 'bel <br /> I recommend: Approval F-1 Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 Check Off List: Proofread Report? Corrcct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 November 03,2020 <br />