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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009396 <br /> DATE RECEIVED by EHD: November 02,2012 APPL#: PA-1200195 <br /> Referral Agency STAFF CONTACT: JOHN L FUNDERBURG PE : 2631 <br /> —ATE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, November 14, 2012 <br /> - Assigned to : EFA005944 ESCOTTO <br /> SITE ADDRESS: 2940 E LOOMIS RD, STOCKTON APN: 17910006 <br /> [n 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: 12,!a-21,1&E7 l ,) &&lL ¢ %2cj� �3 1 L&,?,LAG/ - 11175 <br /> 72-21E 4 5r__ ZGS�iS +7� A i1<'il1tE37%Ll A <br /> 6,14Y46c g /-29L, /t3L46 4ftL-_r 64446C AcQ7142>V <br /> • l�irr+�a�zr ter- �.������ �sz�rF ���c����t.� <br /> - 2cc�irmc-�z�als <br /> A1I //�6,) //.D341 <br /> 9 94 <br /> 1 recommend: Approval 12 Denial Continuance ❑ Inspecto . <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> [A) ! / o��f i '���' P�Aka n <br /> -CHto 2 .• 0, l <br /> I tot , oy <br /> SUPERVISOR/LEAD SENIOR Approval: Date: /Z <br /> OA Il Check OH List: Proofread Report? Correct LAND USE 4? <br /> Correct CONDILION(S)'t Logged in LAND USE Book? <br /> EH 06 06 Repon 47201 November 05,201: <br />