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NOTE: PULL ALLk,..ekMITS (Septic, Well, etc.) MAKE�PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006801 <br /> DATE RECEIVED by EIID: October 23,2007 APPL#: PA-0700410 <br /> Referral Agency STAFF CONTACT: JASON JONES PE: 2622 <br /> COMPLETE&SUBMIT BY: Tue, November 6, 2007 SIIBDIVISON-MINOR(MS) <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 27 S DEL MAR AVE, STOCKTON APN: 15903503 <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 /> SUMMARY OR COMMENTS:Name of Purveyor Name of System <br /> 7 .t,L int/ <br /> G <br /> I recommend: Approval Denial Continuance Inspector <br /> Su ervisor/Lead Senior COMMENTS: Signature <br /> 1 C> <br /> . <br /> -2— <br /> SUPERVISOR/ <br /> 2—SUPERVISOR/LEAD SENIOR Approval: Date: <br /> n <br /> Oq lI Check,Off Lfst:,�' Proofread Report? , Cizrrect LAND i SE,#? <br /> Correct CONDITTQNfS) <br /> I b"t gg.edin L <br /> A USE Bubk? <br /> EH 06 06 Report#7201 <br /> October 25,2007 <br />