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'G NOTE: PULL ALL i�'ERMITS (Septic, Well, etc.) MAKE CU-0IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006351 <br /> DATE RECEIVED by EHD: December 20,2006 APPL#: PA-0600665 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: <br /> _ASARRY, <br /> k Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 5113 E MAIN ST, STOCKTON APN : 15910004 <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 /> D o+-LS <br /> I recommend: Approval ; Denial Continuance Inspector: _ <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approv Date: <br /> C�.IItsChck Offal►s x Prorifread gel 9 eeD[ S1✓�f? .,�, r;a <br /> orre�CON3?T (S}7 � gedLA1�1b <br /> --H 06 06 Report#7201 December 20,2006 <br />