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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> RECORD ID: SU0010622 <br /> LAND USE REPORT <br /> DATE RECEIVED by EHD: September 04,2015 APPL#: 2690PA- 0015 TE <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, September 11, 2015 Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 7878 W UNDINE RD, STOCKTON APN: 18920006 18921015 20 <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: <br /> —e�C�IYI?E7�R'4�Lot8 " <br /> Al QS LI/ )Tl�al�c� � ltZ SL�IZL. �• "�S�4Ze7 tie/Z11� T2t~7x�c_ <br /> i�zc27 /j W lE6� 3 7en.cr, W62' t4) <br /> I recommend: ApprovalDenial Continuance Inspector. <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 7S ZL4f <br /> SUPERVISOR/LEAD SENIOR Approval: Date: / <br /> OA II Che k H List- Proofread ReportCorrect LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 08,2015 <br />