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NOTE: PULL ALL-PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008300 <br /> DATE RECEIVED by EHD: June 11,2010 APPL#: PA-1000127 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2656 <br /> COMPLETE&SUBMIT BY: Wed June SO 210 <br /> REVISIONS TO ACTIONS (RA) <br /> Assigned to : EE0009649 ESTRADA <br /> SITE ADDRESS: 1801 W BRISTOL AVE, STOCKTON <br /> APN : 12317110 <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 o#'System <br /> SUMMARY OR COMMENTS: <br /> E recommend: Approval Denial Continuance Inspector: <br /> Supervisor/Lead Senior,COMMENTS: Signature <br /> SUPERVISOR/LEAD SENIOR Approva <br /> Date <br /> EH 06 06 Report#7201 <br /> ]une 11,2010 <br /> E <br /> h <br />