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NOTE: PULL ALI. MRMITS (Septic, Well, etc.) MAKE-iabPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004963 <br /> DATE RECEIVED by EHD: March 29,2005 APPL#: PA-04-524 <br /> Referral Agency STAFF CONTACT: RAYMOND HOO PE : 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE& SUBMIT BY: Wed, April 73, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 3782 E GUERNSEY AVE, STOCKTON APN : 15714051 <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 /> —/�/A�rEJL� �� �•nIM <br /> AI A0 -4 <br /> aT 2T 9,1,6 <br /> �i f�u111/ l 'F1.�F/n/�L//�?O / '2/�/�Zi 7�1� G' 13�^li /�✓�t5 /'GL 157 LI/6Y_iZ-�7 <br /> !9 Scs�ri SixAaleE 7e7Ls5-6r' 9 iiasz) <br /> I recommend: Approval U Denial Continuance Inspecto <br /> Signature— <br /> Supervisor/Lead <br /> ignatureSu ervisor/Lead Senior COMMENTS: <br /> O : Q <br /> D 0 <br /> SUPERVISOR/LEAD SENIOR Approval: — Date: y <br /> OA 11 Check Off List Proofread Report? V Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 6 March 30,2005 <br />