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NOTE: PULL ALL "MITS (Septic, Well, etc.) MAKE k_, PIES FOR FILE- <br /> LAND USE REPORT RECORD ID: SU0004645 - <br /> DATE RECEIVED by EHD: September 28,2004 APPL#: PA-04-524 Pre pplicatio <br /> Referral Agency STAFF CONTACT: RAYMOND HOO PE : 2611 \ <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE&SUBMIT BY: Wed, October 13, 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 /> -TcE�P�r/i� : ,dam r291<n�s �E.�riw .�L�s�7c�nc�s <br /> �c��Lse� 4�f�TlcC�/Z/!�'�/�is arta �CAcJ7i9r%77GfcT1���s �>?�'��fr� <br /> �'�✓�'�cc� r�'9�S .5k5rj <xl�Gd's)- ���Uc�-/�� y_-5¢.c''�'�yJ//scrf'�� <br /> I recommend: Approval Denial Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 2004 <br /> ltd - � Z <br /> fi <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> EH 06 06 Report#7201 Page 2 September 30,2004 <br />