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NOTE: PULL ALePERMITS (Septic, Well, etc.) MAKt`COPIES FOR PILE <br /> LAND l�SE REPORT RECORD ID: SU0008794 <br /> DATE RECEIVED by EHD: June 17,2011 <br /> APDL#: PA-1100103 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN <br /> PE : 2631 <br /> COMPLETE & SUBMIT BY: Tue, July 5, 2077 <br /> SITE APPROVAL-MINOR(SA) <br /> SITE ADDRESS: 4733 E FREMONT ST,STOCKTON Assigned to : EE0005944 ESCOTTO <br /> APN : 14328032 <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 /> 4-9 <br /> tl <br /> [ recommend: Approval La Denial Continuance linspect <br /> Supervisor/Lead Senior COMMENTS: Signature <br /> Q1 <br /> (3: b <br /> z-Z 0-7 <br /> c x :62 <br /> SUPERVISOR/LEAD SENIOR Approval <br /> SOA 11 Cheek Off List�� 'r '0,Arend tort` Date <br /> t AII3 iJSt� . <br /> Correct su <br /> NI7I'I"IQN `Y--..s;}s'a, fl.r.$ : a &.6�;. M &:»:. °4� .�r.,r ' t s <br /> OrCBCt ? E ' ' ¢ .a E -,___. :s <br /> ..t..,._ . "a' '", "^ #r <br /> . . .. .. ���`:� � �f� <br /> is <br /> EH 06 06 Report#7201 <br /> June 22,201 1 <br />