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r-61 <br /> ' MOTE: PULL At 'ERMITS (Septic, Well, etc.) MAK' OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007980 <br /> DATE RECEIVED by EHD: November 13,2009 APPL#: PA-0900272 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE & SUBMIT BY: Tue, December 8, 2009 <br /> Assigned to : EE0004645 TASIOPOULOS <br /> SITE ADDRESS: 23004 E GAWNE RD, STOCKTON APN : 18708004 <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 Sew <br /> Name of Purveyor r Name of System <br /> SUMMARY OR COMMENTS: e J U( J� <br /> I recommend: Approval5� <br /> Denial Continuance Inspe - <br /> ,aat � <br /> Supervisor/Lead Senior COMMENTS: <br /> Qq <br /> u , <br /> s <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: 7/ Z6 Z <br /> OA 11,6 Off L15t Proafreacl ql f Correct LANG <br /> Correct CONDITI � Jogged in I Al I ii$c�ok� <br /> r- - .......,, .._ .. . �� <br /> EH 06 06 Report 47201 November 16,2009 <br />