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NOTE: PULL ALL'?ERMITS (Septic Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005028 <br /> DATE RECEIVED by EHD: May 03,2005 APPL#: PA-0500252 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2622 <br /> SURInVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, May 17, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 11040 E MARIPOSA RD, STOCKTON APN : 18106015 <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 /> —OGs� /Ztaiefd' zewl� S77t�Arg""a cwt (0 Za—� <br /> .�[ti✓.�i lcrT<f ff��/J�— s/�?� .S�cS'��> >s-s»��i Uzi ,s- S7�C� t'/�lCeZ, w¢'• <br /> •�i�--� �` IS �rar7ac�s��<i...,c f�®'�iC�rzc�<< �,r�-n c�,�- <br /> Z .,o 22�' ui <br /> I recommend: Approval Denial Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> Gd c Q+t. o�,ct rl�l.•w eA 'I t. b` � 64 <br /> d.-W 3-31-3ua t c u m �.��.•QO ice_ .la to <br /> r ` <br /> n �z• d3 ��n4a,r�-`(Gltkt.�:,..P,-&,.� " �� � <br /> F- a 3 a <br /> F as - dt <br /> SUPERVISOR/LEAD SENIOR Approval: Date: � ✓� <br /> OA 11 Check OH List Proofread Report? Correct LAND USE#? <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br /> Ef 106 06 Report#7201 May 09,2005 <br />