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NOTE: PULL ALL-eERMITS (Septic, Well, etc.) MAKE "PIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00005199 <br /> DATE RECEIVED by EHD: July 15,2005 APPL#: PA-0500396 Pre-Application <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES PE : 2687 <br /> GP AHENDNIENT<5 acres(GP) <br /> COMPLETE & SUBMIT BY: Wed, July 27, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 4515 E MAIN ST, STOCKTON APN : 15908212 <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 /> LIJc��3J'rrvL 579 �nYV�s7 <br /> E�t/C�r�?55 /I3 t �/ J3a1 a Gal� szs rc, tr J� �s r/iz�7v / rs TiLyJ 7 <br /> ^�A27/yi��s.411�TT���'%�lS/�) ��=/di�'J'L7/�7�s ti�3cE-GlZf- z�Gd�c/r�Ttf2s.9 <br /> I recommend: Approval DenialContinuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> / 49 <br /> /o "o S <br /> 8 ;;w O Y <br /> 0 <br /> 2a'o3 <br /> SUPERVISOR LEAD SEN IOR Approval: Date: <br /> OA 11 Check OH List: Proofread Report? Correct LAND USE M? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> rH 06 06 Report 97201 July 1 B,2005 <br />