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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00009338 <br /> DATE RECEIVED by EHD: September 05,2012 APPL#: PA-1200176 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2690 <br /> P-RYe LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <br /> _.. _ Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 812 S PATRICK RD, STOCKTON APN: 10308015 16 <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: XZ6� Z- e. <br /> LOT�/3) h iia S lNuc 4z6e, co,2P;� r, 3rAc�CB �.�st s3 r� sz �v- Darn <br /> .�"ZLS r�7 7s fIL����`6.15 a-�n�✓f-��1�fc srr�f� li��.sf-�/�Xil�c�,�s��r <br /> n:�,F�i��u,C1� irk iYSl�✓�3 FAvo r�.s�.'r�s�s�c?m l 90-3�.ia g3- <br /> v3�)cF�r� � �Prlr�� G�74.t�r� �irkic%i✓� <br /> I recommend: Approval Denial Continuance Inspect <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> NtVt X, S <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: _ <br /> OA II Check OH List: Proofread Report? Correct LAND USE#? 1 <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 05,20U <br />