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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011966 <br /> DATE RECEIVED by EHD: September 28,2018 APPL#: PA-1800253 <br /> Referral Agency STAFF CONTACT CHRISTINE LUCKASEN PE : 2660 <br /> DEVIATION(DV) <br /> COMPLETE & SUBMIT BY: Tue, October 16, 2018 <br /> Ass!gne d to : EE0009488 WONG <br /> SITE ADDRESS: 2900 E FREMONT ST, STOCKTON // '(� ��y7 APN : 14342050, 14342051, 14342053 <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 hou e, wind direction, etc.... <br /> Public Water: W� �R JA �� Public Sewer: ,Q q i <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: Q f�i <br /> 2 <br /> I recommend: Approval ❑ Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> o enp <br /> SUPERVISOR/LEAD SENIOR Approval: Date: l5 <br /> I h kff Li : Proofread Report? VCorrect LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 28,2018 <br />