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NOTE; PULL ALCOERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008337 <br /> DATE RECEIVED by EHD: June 24,2010 APPL#: PA-1000118 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE ; 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE& SUBMIT BY: Tue, July 6, 2010 <br /> Assigned to : EE0009649 ESTRADA <br /> SITE ADDRESS: 4953 E MOSHER DR, STOCKTON APN : 08660001 02 03 <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 /> 1 recommend: Approval ❑ Denial Continuance ❑ Inspector: <br /> Supervisor/Lead Senior COMMENTS: Signature <br /> r <br /> SUPERVISOR/LEAD SENIOR Approv <br /> /!11 IChnck+C]f l.rs i�1'roafrac E epA .._ $a@i: <br /> "�-' 5 �:; ���b sct '(}[ ) � 8d�ti 1tkl'!D LT � <br /> _ , <br /> EH 06 06 Report#7201 <br /> July 01,2010 <br />