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" NOTE PULL ALL-r-wAMITS (Septic, Well etc ) MAK&-o►i'IES FOR FILE <br /> RECORD 1D: S00005000 <br /> LAND USE REPORT <br /> DATE RECEIVED by EHD: April 19,2005 APPL#: PA-04-347 <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES PE: 2691 (;z �� SL'etX)- bl <br /> � ., <br /> COMPLETE&SUBMIT BY: Wed, April 27, 2005 <br /> Assigned toEE0000149 BORGES <br /> SITE ADDRESS: 8868 E MARIPOSA RD, STOCKTON APN: 18109011 <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 /> i <br /> u9 <br /> I recommend: Approval El DenialT] Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENT <br /> OVt�. <br /> Ali g5ar �� <br /> L —S -um Qofo� t o <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Check Off List: Proofread Report? Correct L:uvD USE 4? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201o „e,, p „ ` +��.,yy .. w_pj �QR.QpApril 21,2005 <br />