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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009837 <br /> DATE RECEIVED by EHD: December 03,2013 APPL#: PA-0700372 TE <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Fri, December 13, 2013 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 4010 E FREMONT ST, STOCKTON APN : 14333029 <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 /> e— <br /> Jor <br /> �- <br /> I recommend: Approval Denial Continuance Inspe <br /> nature <br /> Supervisor/Lead Senior COMMENTS: <br /> ' U/V' �itM1 An TL9V1 cel aA I��ipVOyl^-� S(n n� l/K v/ll'1n A4 <br /> SUPERVISOR/LEAD SENIOR Approval: vin Date: 1 7I <br /> OA 8 Check Off LiAL Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> Ft1 06 06 Report#7201 [)=mber 04,2013 <br />