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r <br /> 5 <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004759 <br /> DATE RECEIVED by EHD: December 28,2004 APPL#: PA-04-29 <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES y- PE: 2690 <br /> � (iJt.o�dQ.itgL�� LOT LINE ADJUSTMENT(LA) <br /> COMPLETE &SUBMIT BY: A R A -BY .7. � t ,� b� <br /> / Assigned to : EE000000I TURKATTE i <br /> SITE ADDRESS: 10950 N ST RT 88 HWY, STOCKTON APN : 06312013& 16 <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 /> T'14-0/ <br /> IS o i11X t 1(7° �flZl�v� i'D fL' r i�1 o O <br /> c e, v <br /> n <br /> L <br /> I recommend: Approval Denial Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> l <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA I!Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 Page 1 December 31,2004 <br />