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NOTE: PULL ALL,,ERMITS (Septic, Well, etc.) MAKE %..4PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008255 <br /> DATE RECEIVED by EHD: May 14,2010 APPL#: PA-1000095 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2606 <br /> EXCAVATION-AGRICULTURAL{AX <br /> COMPLETE & SUBMIT BY: Tue, June 1, 2010 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 401 S BOULTON RD, STOCKTON APN : <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: <br /> �Ge-�f�� <br /> [ recommend: ApprovalDenial Continuance Inspector• <br /> Supervisor/Lead Senior COMMENTS: Signature <br /> ,7 z ?, _ <br /> 2- 0 3 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> SOA fl Check Off Lister I'rb&eadpvr 3 +Corr€1y3 <br /> � <br /> -10 <br /> :.• �. sg;f `��? � r'` ,��� � _a.; isG S�•C.�. � .p °���� Spp. 'LsAN� ?i�.•3`I yy°° <br /> .. av <br /> Eli 06 06 Report 47201 <br /> May 17,2010 <br />