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NOTE: PULL ALL RMITS (Septic, Well, etc.) MAKE 6 PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006579 <br /> DATE RECEIVED by EHD: May 30,2007 APPL#: PA-0700236 Pre-Application <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE: 2663 <br /> VARIANCE(VR) <br /> COMPLETE& SUBMIT BY: Wed, June 13, 2007 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 9158 N GARY AVE, STOCKTON APN: 08519003 <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 /> sA S d <br /> I recommend: Approval Denial Continuance Inspector• <br /> Signature <br /> 3upervisor/I.ead for COMMENTS; <br /> 4-0 It4 <br /> iUPERVISOR 1 LEAD SENIOR Approval: <br /> Priotiea�'Re ort <br /> t7A`11 hecx aff L►sf buff"? <br /> - <br /> m . 3 L� edin LADkr—� <br /> CrltrectQ1�IDITION gg <br /> a -. <br /> 3K 06 06 Report#7201 May 30,2007 <br />