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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE'-CAPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005698 <br /> DATE RECEIVED by EHD: October 12,2005 APPL N; PA-0400396 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Wed,1LT <br /> - Assigned to : EE0009649 ESTRADA <br /> SITE ADDRESS: 2315 N CARLTON AVE, STOCKTON APN : 12310038 <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:_(' I (�j Public Sewer: v <br /> Name of Purveyor ' Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval ❑ Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> d Zd _f 0 <br /> SUPERVISOR 1 LEAD SENIOR Approval- i e: <br /> 3� e. <br /> _? ' •:a_.. _.. � .,�u<��, QQ tea <. ....._....... ,. p.- :.. * .�.- <br /> E4.. <br /> EH 06 06 Report 47201 October 18,2005 <br />