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NOTE: PULL ALLk---RMITS (Septic, Well, etc.) MAKE �iES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006195 <br /> DATE RECEIVED by EHD: August 15,2006 APPL##: PA-0600333 <br /> i Referral Agency STAFF CONTACT: MO HATEF PE: 2663 <br /> t VARIANCE(VR) ✓�5 � J��r <br /> COMPLETE&SUBMIT BY: Wed, August 30, 2006 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 3410 N DELAWARE AVE, STOCKTON APN : 11111003 <br /> E <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 /> 12, <br /> } 4j ZO=05--6 O <br /> f <br /> I recommend: Approval ©' Denial ❑ Continuance ❑ Inspector: <br /> Si nature <br /> Supervisor/Lead Senior COMMENTS: <br /> M <br /> } <br /> F <br /> SUPERVISOR/LEAD SENIOR Approval: Date: v 3i1z)j, <br /> w; isrctGON'L?ITIO ( yRogedan .i� .> oQ�? $ <br /> EH 06 06 Report 47201 August 16,2006 <br />