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s <br /> ' NOTE: PULL ALLC .RMITS (Septic, Well, etc.) MAKE_PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004579 <br /> DATE RECEIVED by EHD: July 20,2004 APPL#: PA-04-396 <br /> Referral Agency STAFF CONTACT: JENNIFER JOLLEY PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Wed, July 28, 2004 <br /> Assigned to : EE0000149 BORGES <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: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 11 <br /> I recommend: Approval ❑ Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> Proofread Rep <br /> A I!Check Off 1-1 Listoi?" Con-ect"LAND USE#,? <br /> N ` _ :, Correct CONDITION(Sj? Lagged in LAND USE'Book? <br /> '06 06 Report 47201 Page 4 July 27,2004 <br />