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NOTE: PULL ALL t, , AMITS (Septic, Well, etc.) MAKE �,,p1ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006519 <br /> DATE RECEIVED by EHD: April 16,2007 APPL#: PA-0700140 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2631 <br /> SITE APPROVAL-MINOR <br /> COMPLETE& SUBMIT BY: Wed, May 9, 2007 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 11288 S MCKINLEY AVE, STOCKTON APN : 19332024 <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 populatio <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 recommend: Approval El Denial F-1 Continuance nSpeetor: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SITERVISOR/ LLAD SENIOR Approval: Date: <br /> OA ll Check Off List: Proofread Repoli? Correct LAND USE 4? <br /> Correci CONDITTON(S)? Logged in LAND USE Book? <br /> EH 06 06 Repon 97201 April 17,2007 <br />