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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011261 <br /> DATE RECEIVED by EHD: March 03,2017 APPL#: PA-1700039 <br /> Referral Agency STAFF CONTACT: GIUSEPPE SANFILIPPO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, March 14, 2017 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 6701 E HWY 4 , STOCKTON APN : 10306013 <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: _)�� gei z lE!✓ C7/t46:-5 ZIA7. ��J(i21- fZ77i///T� <br /> 're11 w-4 h '� <br /> ' /�7E1°IJS��] ���-aE� /�/]-1L�(� ,Qs✓1c�A-}rP ,�C�.4/E`�G�LO��!i✓�1i_--�.b�7� <br /> a <br /> A I Cis�.�.� �c o c:�✓Ji zr�Ls zr h�� �r� ,�fr::�-z�� - <br /> I recommend: Approval LYJ Denial ❑ Continuance Inspe <br /> Signature <br /> Su ervisor/Lead Senior C MMENTS: <br /> c <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II heck Off List, Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 March 03,2017 <br />