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� f <br /> NOTE: PULL ALL PERMITS (Septic, Wen, etc.) MAKE PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006541 <br /> DATE RECEIVED by EHD: April 26,2007 APPL#: PA-0700196 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2690 <br /> COMPLETE& SUBMIT BY: ASARB , <br /> LOT LINE ADJUSTMENT(LA) <br /> � <br /> F Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 5228 MILLER AVE, STOCKTON APN: 15921303 <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 /> 3ensity, location of house, wind direction, etc.... <br /> Public Water: - Public Sewer: sr <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> n J <br /> E recommend: Approval ® Denial Continuance F-1 Inspector: <br /> f <br /> 3a ervisor/Lead Senior COMMENTS: Signature <br /> PUPERVISOR/LEAD SENIOR Approval: Date: <br /> A1-Chck;[�ff Ltstr Po Gbrrect 1yiD USS#? <br /> e. <br /> roo, <br /> e rt <br /> Correet f", NDO <br /> Logged' 'LAND VSE I30ok1 <br /> ',H 06 06 Report#7201 <br /> April 27,2007 <br />