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NOTE: PULL ALL P�AAITS (Septic, Well, etc.) MAKE C 'ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006896 <br /> DATE RECEIVED by EHD: December 18,2007 APPL#: PA-0700236 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2663 <br /> VARIANCE(VR) <br /> COMPLETE& SUBMIT BY: Wed, January 9, 2008 <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 /> ,le+- <br /> I recommend: Approval a Denial El Continuance Inspector• <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> r <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> C0A !!Check Off List: P o� cad Iieport� � Correct ANIS US}3# <br /> . Correct GQNDITION <br /> LoggedAND ifSE$bk� <br /> ti <br /> iH 06 06 Reporl 9720E December 20,2007 <br />