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NOTE: PULL ALLIrERMITS (Septic, Well, etc.) MAKE'=PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004959 <br /> DATE RECEIVED by EHD: March 29,2005 APPL#: PA-05-166 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2690 <br /> COMPLETE&SUBMIT BY: q p�Y'T Al s LOT LINE ADJUSTMENT(LA) <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 4347 N HUBBARD AVE, STOCKTON APN : 08707029& <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 /> �LEl�`7�1f3�s A'XJ f-�y/iYl/75 �i✓s�-tG6 <br /> cr't/Ap4ee4EY, A y �/,cc8`Cr.�-� /-b4'��i� Tse .f3F=/1�4x�tJ0��?l ; 71�Y3 Aa-w ASN <br /> !moi /F fif?'Trl �/4e44,1G�(O'+9�/�11/l�flS,�..L/p�v✓C6✓lSC!/7 Ti.J7J,�s4 E 7<Q) <br /> C!L�l�/J�Ys•YftE �ezet//lcit�l �3 _ 2r/`E & /✓ 1 <br /> -1�lGYrN9�-rt9¢7e�S <br /> ?z:� :DZ •D � Z2:0/ <br /> I recommend: ApprovalTZ Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 11 - <br /> Q <br /> 0-41 <br /> 42 <br /> SUPERVISOR/LEAD SENIOR Approval: — Date: S <br /> OA II Check Off List• Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 2 March 30,2005 <br />