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+ NOTE: PULL ALL r-fRMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004794 <br /> DATE RECEIVED by EHD: January 20,2005 APPL#:'(PA'-05-19 <br />{ -;F <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2632 <br /> - - � �S1TE APPR A0-GENERAL(5A) <br /> COMPLETE&SUBMIT BY: Tae, February({ 2005 <br /> a Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 31.56 N BOZZANO RD, STOCKTON APN : 010111076 <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 /> 'Naine of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> f�Z�ff�/124�/�f� 4�S�ir�i✓GtJ6�L'C�s�`!.�`�!�/+��Z.�1Jy.���'�,!d�lS pfd�� <br /> 7c = .4 Gam'-.�•� /�GZ< 5 <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> C� <br /> - l <br /> SUPERVISOR I 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 47201 Page 3 January 21,2005 <br />