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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010126 <br /> DATE RECEIVED by EHD: June 30,2014 APPL#: PA-1200183 TE <br /> Referral Agency STAFF CONTACT: MO HATEF PE: 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE &SUBMIT BY: Tue, July 22, 2014 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 8372 S JACK TONE RD, STOCKTON APN: 18308005 <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, win direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> lzh�.IZ44&L 41Z <br /> L <br /> I recommend: Approval 7 Denial Continuance Inspector: <br /> re <br /> Supervisor/Lead Senior COMMENTS: <br /> ZZ �� <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA Il Check Off List: Proofread Report? Correct I,AND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 <br />