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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011967 <br /> DATE RECEIVED by EHD: September 28,2018 APPL#: PA-1800222 <br /> Referral Agency STAFF CONTACT FRANK GIRARDI PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, October 16, 2018 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 3510 E GUERNSEY AVE, STOCKTON APN: 15714032 <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: Ev-� ( GLJC_ W 4+-Q�l- Public Sewer: o55-e-vi'�.+� <br /> Name of Purveyor Name of SyfteiA <br /> SUMMARY OR COMMENTS:be <br /> <,� a /vim_ r -���..�'" ��n .�-,►'G l'���'' <br /> PS <br /> °w a ori a� o 's�r� ca A� <br /> I recommend: Approval F-1 Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> ��li`nlf�r= _02V fi&g�g P&�Ep &xdl 5FA0!=)- xZ-4 <br /> r <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off Li Proofread Report? Correct LAND USE#?- <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 28,2018 <br />