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NOTE: PULL ALL r RMITS (Septic, Well, etc.) MAKE C-dPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006850 <br /> DATE RECEIVED by EHD: August 08,2007 APPL#: PA-0700378 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE &SUBMIT BY: <br /> � Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 681 W GRIDER , STOCKTON APN : 07014028 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e., sewage disposal,4watersupplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing p <br /> density, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: _yam <br /> PcP1.v� T.Ul�lr.�l_��✓�o�1.c�zx�� Ts,�4c�- G�tzc2:�ti,�.�,.9i/�sm7w7/fic�.co7X�l� <br /> /��� A`L G'4rflbtf5.4c�/�Zi lla�C�jU�L/�Y r/o��.sc// �¢s��c7f-�.7�ZaT5f7�J Z <br /> ' /1s5/�.t/,�k7.� �I� �.I7 .JS/�t7A�dST� R�il✓/�'bt/Yw LCLc$/ b <br /> — d"I <br /> I recommend: Approval q� enial EI Continuance Inspceto . <br /> 1. Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> h ht�4iz <br /> A <br /> %0 G{ <br /> ERVISOR; LLA ) SENIOR Approval: - - Date: - - <br /> A II Check Off List: Proofread Repuri? Correct LAND USG#? <br /> CorrecL CONDI FION(S)? Logged in LAND USE Book? <br /> :H 06 06 Report#7201 November 29,2007 <br />