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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010674 <br /> DATE RECEIVED by EHD: October 26,2015 APDL#: PA-1500207 <br /> Referral Agency STAFF CONTACT: MEGAN AGUIRRE PE : 2663 <br /> VARIANCE(VR) <br /> COMPLETE&SUBMIT BY: Wed, November 11, 2015 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 4445 E QUASHNICK RD, STOCKTON APN: 08602001 <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: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: .� 'W—alytTa.) 71� -/) /(L .� ,Gii (jI "X <br /> l7ec ,7sl 7rcr� /�/I/Ir ) G� <br /> SL2� fs��in sa <br /> 17a4�it�sS GICV A&4W A6 - <br /> • f9l L,/->«1 O?iL�7 Lw.�.e;-!`yaC`!t3 Lf•'C.�`"-�i1C�'✓/i,.c-YG SZs�'1 <br /> I recommend: Approval El/ Denial El Continuance E-1 Inspector: `� _ <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: / Date: <br /> A 11 Check Off List: Proofread Report? Correct LAND USE 4? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> LH 06 06 Report 47201 October 26,2015 <br />