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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0015288 <br /> DATE RECEIVED by EHD: December 06,2022 APPL#: PA-2200254 <br /> Referral Agency STAFF CONTACT: ALISA GOULART PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE&SUBMIT BY: Mon, December 26, 2022 <br /> Assigned to : EE0009834 SUSZYCKI <br /> SITE ADDRESS: 287 N CARDINAL AVE, STOCKTON APN : 14330012 <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' <br /> I recommend: Approval F-1 Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 December OG.2022 <br />