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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011633 <br /> DATE RECEIVED by EIID: January 17,2018 APPL#: PA-1700052 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2631 <br /> SITE APPRQVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, January 24, 2018 p4vf <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 3855 E FARMINGTON RD, STOCKTON APN : 17314003 <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 / 70 I Name of System <br /> SUMMARY OR COMMENTS: r *,4'tI 5 40"WS M yti�,J' Grl� �VV4 CQ I q,Ua d ,4'. <br /> ✓10 I r (S r 1111410n d /-4 <br /> — W0. e Iv- kLf <br /> I recommend: Approval Denial ❑ Continuance ❑ Inspector: <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> All h k ff Li : Proofread Report? Correct LAND USE d? <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br /> GH 06 06 Report#7201 January 18,2018 <br />