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NOTE: PULL ALL-eERMITS (Septic, Well, etc.) MAKE %.JPIES FOR FILE <br /> _AND USE REPORT RECORD ID: SU0008550 <br /> DATE RECEIVED by EHD: December 17,2010 APPL#: PA-1000284 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: f <br /> — s€�. •� Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 10685 S WING LEVEE RD, STOCKTON APN : 18922019 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: -, 7>� <br /> 06 <br /> � �sy <br /> 1 recommend:---Approval Denial Continuance Inspector: <br /> �/�gnature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: �--� Date: / 7, Z- <br /> OA 11 Check Dff f isf Proofread �poi <br /> ,isb L.(SCF(siCt�L1�ND���i'�€'�, a�E i <br /> _� ;E� Correct C�JNl�1�10Ld(S)'� ��� (" LOed <br /> EH 06 06 Report 47201 December 20,2010 <br />