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NOTE: PULL ALL P RMIT8 (Septic, Well, etc.) MAKE C61ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU00059287 <br /> DATE RECEIVED by EHD: February 21,2006 APPL#: PA-0500396 QA -0(o <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2687 <br /> GP AMENDMENT<5 acres(GP) <br /> COMPLETE&SUBMIT BY: Wed, March 1, 2008 Assigned to FE0009649 ESTRADA <br /> SITE ADDRESS: 4515 E MAIN ST, STOCKTON APN : 15908211 12 <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 /> tiZ 0 - <br /> SUPERVISOR I LEAD SENIOR Approval: Date: !� <br /> II•Chec OKLrst: Proo$ead'Report? ;' "•v ` 'Offect Lnrib USES#? <br /> y;.Correct CONDITION(S) Logged in LAND USEBook° <br /> EH 06 06 Report#7201 <br />