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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011736 <br /> DATE RECEIVED by EHD: March 30,2018 APPL#: PA-1800071 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE& SUBMIT BY: Wed, April 11, 2018 <br /> s d to : EE0009488 G"' <br /> SITE ADDRESS: 14311 W HWY 4 , STOCKTON L 0 Z l AP6 : 12919029,y2919031 <br /> In completing the Land Use investigation, draw all Public Health fac e exhibit (i.e., se tsposal, water supl <br /> etc...). Where necessary, on an attached piece of plain paper, draw complete showing population density, Ica <br /> of house, wind direction, etc.... `�I OD a <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 7 � 2 <br /> i l <br /> 2 er-`F' S-et C f o"Yl h C- O <br /> 29 9 24 tAW � Cetc, x,400 a , <br /> i r*�-61 ntr� sd�m e c luc <br /> 4 QAC C; , Z2 Or 5% to a -bz-(AA elean i K i S f; 21M <br /> OCaS td;I( �o CaM f,t a 2- N a > <br /> recommend: Approval ❑ Denial ❑ Continuance Inspector: <br /> Sienature <br /> Supervisor/Lead Senior COMMENTS: ,�, <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? _ Logged in LAND USE Book? <br /> EH 06 06 Report#7201 April 02,2018 <br />