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NOTE: PULL ALL RMITS (Septic, Well, etc.) MAKE PIES FOR FILE <br /> RECORD ID: SU0005116 <br /> LAND USE REPORT <br /> DATE RECEIVED by EHD: June 20,2005 APPL#: PA-0500366 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, July 5, 2005 " <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 1011 N BROADWAY AVE, STOCKTON APN : 14315013 <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: G <br /> ACL 6/ lE3r� L�/Eta tai) G/4 C E/2�l/�//75 Cc�Ei�- r" -eq �/?EsfJ1 A/t�s <br /> r�/sric.�'���� • lb/2�/mss G/29/as) <br /> ���XXLSG'i•✓6 t3 u�cDi.� .CS s�aC�ce.4 l�/J'/�L�� S�/1«,v r'�s.�/�,�EJF G��i�3 � H- <br /> /2�yt,SC� 1 4« arc //L� �z .3t�c Tssc�irrh zfc�ro/t �i�� e� <br /> 1A1�lGcrStf !�St9, 5 c)r5 To Gl7i� /ot �'Z L, #K7a tKYc C��✓�i�/G <br /> 1�11�-1%G'7, `�rSG[S'.✓PS Co��c.EK/JR5 q`GSI'✓G .1�2�/GCF�S F��'t�.(�!cd�2- 7✓/-*�^l9-� <br /> !o :0 8 toz <br /> 7 � -cam- vtc�c5 G✓sr76 <br /> I recommend: Approval - Denial E Continuance Inspector' <br /> Signature <br /> Supervisor/Lead Sentioor COMMENTS: <br /> © 1 <br /> �ry <br /> %� l) 40eAp4al <br /> dt r Q" ti <br /> n <br /> 0 0l <br /> o a : o '1 <br /> /a A, <br /> F . <br /> SUPERVISOR/ LEAD SENIOR Approval: �' "1 Date: 2 �� <br /> OA Il Check Off List: Proofread Report? Correct LAND USE#? <br /> *' Correct CONDITION(S)? Logged in LAND USE Book? <br /> June 20,2005 <br /> EH 06 06 Report#7201 <br />