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NOTE: PULL AL RMITS (Septic, Well, etc.) MAKE-wGPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005347 <br /> DATE RECEIVED by EHD: August 26,2005 APPL#: MS-0500557 <br /> Referral Agency STAFF CONTACT: CEALY LEIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE &SUBMIT BY: Tue, September 20, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 423 S FRESNO AVE, STOCKTON APN : 14514007 <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[ E2 &/ -j " ��yr5��s »i71 7���uc. �7J��64 rte. �a &v 477A <br /> — /k/y7� ,rte./�l7Cca,- /�il2alOs� <br /> ' l�/J2Gt-7.c �T� v-�3 - ��iJar5�c7) �'✓rt�Y 4�'hoc. � l��'2-�7 /-�Z�'��L—iCc�- i.�n5 a .�=�> <br /> • /�/ILL��" f= �rz�i;.� �x� �t2e.��,i4-y� � /h c4�t.�o� 7.fe�=cel p��car.-�:� <br /> ' Zf/L.S6�rYI7.tA�cL-��✓SC�L� /7� G/�7c� � L�r1 c,r?H i'1"3SdLZL3, �cc1.�i.-��Zc`�'1�7t�C'Lc <br /> ) <br /> I recommend: Approval © Denial tontinuance Inspector <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> O <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: r' <br /> OA 11 Check Off List Proofread Report.. +rte "' '• WON 4VSW- <br /> Correct CONDITION(S),7 " logged in LAND USE Book? <br /> WPM M nn Rcwm cT_ul August 36.?OQS <br />