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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500006106 <br /> DATE RECEIVED by EHD: July 03,2006 APPL#: PA-0400789 REV MAP <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE& SUBMIT BY: Mon, July 3, 2006 <br /> Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 4860 E MAIN ST, STOCKTON APN : 17321004 10 11 <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 /> -11 <br /> Public Water: 4 ,, ; , �JLj„ Public Sewer: N/a <br /> ame of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 5- <br /> I <br /> I recommend: Approval 12 Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: /� <br /> Fav .•-r>ti•-v.L..,�--« ( t(-etr ('f-& !)L, .o �-�mt.o. C�l.�dc74�.�5 -F-s " /qa a a -1 LocLs, <br /> SUPERVISOR/LEAD SENIOR Approval: Date: P- U(o <br /> EH 06 06 Repon 97201 July 05,2006 <br />