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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012498 <br /> DATE RECEIVED by EHD: August 14,2019 APPL#: PA-1900092 <br /> Referral Agency STAFF CONTACT! ALISA GOULART PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Thu, September 12, 2019 <br /> Assigned to: EE0007380 SHIH <br /> SITE ADDRESS: 3858 S MOURFIELD AVE, STOCKTON APN : 17524027 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e., sewage disposal, water sup] <br /> etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population density, lo( <br /> of house, wind direction, etc.... <br /> Public Water: JN C a( ti t 1- Public Sewer: 7-AF7 ,rl"p ,0,25 T s-2 <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> CHID 6Q,/,tiiSov � -/9�DdgZ <br /> gy=p���' ears•/�f,s w $Ur-t�/L 3 Yrs <br /> SS"e c a� � ys..y-�S -�i S✓cad iz 3�!(o <br /> I recommend: Approval F-1 Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> [� <br /> All h k Off Li Proofread Report? Correct LAND USE#'? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 14,2019 <br />