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NOTE: PULL ALLti. RMITS (Septic, Well, etc.) MAKE •.dP1ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004724 <br /> DATE RECEIVED by EHD: November 23,2004 APPL#: PA-04-524(REG) <br /> Referral Agency STAFF CONTACT: RAYMOND HOO PE : 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE & SUBMIT BY: Wed, December 8, 2004 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 3782 E GUERNSEY AVE, STOCKTON APN : 15714041,40,& <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 /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> I OR <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 Check OH List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> CI 1 06 00 Repan 7201 Paee 10 November 24,2004 <br />