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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012293 <br /> DATE RECEIVED by EHD: May 28,2019 APPL#: PA-1700006 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Thu, June 13, 2019 <br /> Assigned to : EE0009825 AFONSKAIA <br /> SITE ADDRESS: 4100 S HWY 99 /E FRONTAGE RD, STOCKTON APN : 17917252 <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: &02 VX4_ Public Sewer: 6-10I19-- <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: I i'l� Y- l Qjyt/ '/ L' L4 1 wX /��I Q aLyd rI'au A <br /> I'► <br /> �-ED✓c,Vt� Ta UL! Oct I L kf 2 1!� i-I 6-d -�/D. <br /> �f e,l� S c�oh '• ^� _o c�-�e� ��i�'�� we l I u-F -�� �.c 7�z ' G,vos► <br /> VVOA OL KM eh <br /> On !�!� <br /> J DA2 Sa-4� A ,. <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 30,2019 <br />