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NOTE: PULL AL'LERMITS (Septic, Well, etc.} MAKiOPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007673 <br /> DATE RECEIVED by EHD: April 13,2009 APPL#: PA-0900083 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE &SUBMIT BY: Tue, May 5, 2009 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 12133 E BAKER RD, STOCKTON APN: 08916019 <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: � Izey'k-770 <br /> I recommend: Approval Denial � Continuance � Inspecto � <br /> ��� lZ�G S�Sr �ja (,,Q/�R�/ • � 1 d`. Signature <br /> Su ervisor/Lead Senior COMMENTS: <br /> Lj z-79 O <br /> t1 C <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> ©A�ti Ch <br /> eek Uff Lhi =--� PropfreaCtl port _ CorrectLAND U5E 9 - # ; <br /> .. <br /> CorrcctCONDITION(S}? T ogg .l t LA*}I7 USE Book�- <br /> EH 06 06 Report#7201 April 13,2009 <br />