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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012742 <br /> DATE RECEIVED by EHD: December 27,2019 APPL#: PA-1900297 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Thu, January 30, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 818 S WAGNER AVE, STOCKTON APN: 15907029 <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: e„ 1w,,,eek Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 7 awc> R daC.t14 *r 14P* S• ,✓ti l.-c A /e-4 S-17 a-0 l <br /> 1 se A�� fix...-►- -f— Zy/Z �Y �'�� <✓`51-�Y �^c . <br /> .f— s•�n h Z--- �/�a�f.-� f�n. /Nin,'"'�' �'7- �5`1 Sl ?��' fT�b� s c,cru.s-tr . <br /> I recommend: Approval ❑ Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 December 30,2019 <br />