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NOTE: PULL ALL_.RMITS (Septic, Well, etc.) MAKE _,,,PIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500006858 <br /> DATE RECEIVED by EHD: November 27,2007 APPL#: PA-0700548 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Wed, December 12, 2007 q <br /> •U�^j`�!`.'. Assigned to : EE0004045 TASIOPOULOS �7[ <br /> SITE ADDRESS: 4242E MARIPOSA RD, STOCKTON APN : 17908052 <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 Pu eyor —J1� Name of System <br /> SUMMARY OR COMMENTS: 1z7, )/C ✓12sN kWLLt �/�✓a✓tfl�-- <br /> A 2 <br /> Y n <br /> p <br /> C a <br /> t7 MAa ✓Wt1 LC+- i_�o� cG- <br /> Lj <br /> h• n� <br /> I recommend: Approval Denial Continuance Inspecto . <br /> Supervisor/Lead Senior COMMENTS: <br /> o 3 . <br /> < c Ltd d <br /> ( ,?(Aee e si ce Il.'DS Q w �loeUP �z�l <br /> Date: J <br /> ERVICOR I LGAD SEN70R Approval: - <br /> ll Check Off List: Proofread Report? '`•` ' Correct LAND IiSE <br /> Cancct CONllCI[ON(S)? _'Logged in LAND USC BooF,t - <br /> December 03,2007 <br />