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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013632 <br /> DATE RECEIVED by EHD: October 08,2020 APPL#: PA-2000158 Pre-Application <br /> Referral Agency STAFF CONTACT TEDDIE HERNANDEZ PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, October 29, 2020 <br /> Assigned to: EE0007380 SHIN <br /> SITE ADDRESS: 4040 E MAIN ST, STOCKTON APN: 15727503,-15 <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: eax-� ,,,,..kms Public Sewer: C,,XY <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> AG : /{'7- 7-7I- 15 S7� s�rx�l i✓� <br /> e' jr- so,�iS L ��s�s /?o k,..i }? a<a 'q-f4fwi <br /> as SPp k e e-�u,k /oe4 Al e, ti s-/eV r. <br /> 4/''S 7i-ox-"V4' Sea "A'e'k •z" -jz� if) <br /> I recommend: Approval F-1 Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 heck Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 12,2020 <br />