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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011928 <br /> DATE RECEIVED by EHD: November 19,2018 APPL P PA-1800234 <br /> Referral Agency STAFF CONTACT. CHRISTINE LUCKASEN PE : 2633 <br /> SITE APPROVAL-MAJOR(SA) <br /> COMPLETE& SUBMIT BY: Thu, November 29, 2078 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 500 N JACK TONE RD, STOCKTON APN : 10504022 <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 Pury yor p Name of System 11 <br /> SUMMARY OR COMMENTS: re '414 S M�, AV— <br /> iyo C� Oar M M "o ff 4!�4*9jV <br /> tir I(17-1 -. A&i e A 0 <br /> 2fC� d? Nl r <br /> A ,' L CM <br /> Cf vV S — <br /> YYkL Vv00 r l D ply Gt,S'CK_ <br /> v i ( Z7 Zo(s <br /> I recom end: Approval Denial Continuance El Inspector: <br /> �� Si ra re <br /> Suoervisor/Lead Senior COM IE TS: <br /> 5r--� L-'e7 T- -1Z (7 I(L2-6 / <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 h k Li • Proofread Report? V Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? u- <br /> EH 06 06 Report#7201 November 20,2018 <br />