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NOTE: PULL ALL-rERMITS (Septic, Well, etc.) MAKE u6PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004844 <br /> DATE RECEIVED by EHD: February 17,2005 APPL#: PA-05-59 <br /> Referral Agency STAFF CONTACT: 15727501 PE: 2690 <br /> wo ,.��q'A <br /> �(Y\ LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: A R A R. Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 4010 E MAIN ST, STOCKTON APN : 15727501,02& <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: �y Public Sewer: ��� � <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: v� <br /> J <br /> I recommend: Approvalenial~❑ Continuance I Peet <br /> ignature <br /> Supervisor[Lead Senior COMMENTS: <br /> 10 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA f!Check Off List: proofread Report? Correct LAND USE 9? <br /> Correct CONDITIONS}? V Logged in LAND USE Book? <br /> EH 06 06 Report 47201 Page 4 February 18,2005 <br />