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A =' NOTE: PULL ALC A!RMiTS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004794 <br /> r DATE RECEIVED by EHD: January 20,2005 APPL#: PA-05-19 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE&SUBMIT BY: Tue, February 4, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 3156 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 /> Name of Purveyor sF ' Name of System <br /> SUMMARY OR COMMENTS: <br /> • ��Z ��GtJ. xc A&pwy 2 <br /> r <br /> Res- <br /> I recommend: Approval,2 Denial El Continuance. Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> i s <br /> 01 UT <br /> k <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: <br /> Proofread Re ort? �;` ` Correct LAND USE#? <br /> Oa II Gheck 6 Lrst P <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> n <br /> EH 06 06 Report#7201 Page 3 January 21,2005 <br />