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NOTE: PULL ALL +,eRMITS (Septic, Well, etc.) MAKE .:PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005047 <br /> DATE RECEIVED by EHD: May 13,2005 APPL#: PA-0500280 <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, June 7, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 975 S JACK TONE RD, STOCKTON APN : 10323018 <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 /> -�r,—�. �C3�/ewe) ' �kJ f��"/i7S 1i�7� ,+fir-!.✓� CGr7ifi..� e�t� .��cc�.'�GYJ1�lEyL/�'c>'1� ! `L <br /> G�/L .SI�'`�f'�Y/T.i.�S S2Gri f/i��lJ r f/-/ �{�Ll�/�PA7�7S��� !tel F�l�l} [i .'�✓fig //6'JL; <br /> -GLL�i7G`?/c��lCp�J : 1�,��✓d>> ?��s�7ura��. <br /> �o,/s� ��o�z-soc.���lc�2os' ��.s�t�,✓t�tv>�c�'L_�u,�u2c�9'a�,�rm�2�s�.e� <br /> I recommend: Approval 1 Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> B o <br /> SUPERVISOR/ LEAD SENIOR Approval: j' Date: �? <br /> OA 11 Check Off List: Proofread Report? .. Correct LAND USE#? ` <br /> Correct CONDITION(S)? - Logged.in LAND USE Book? ' .,. <br /> EH 06 06 Report 47201 May 16,2005 <br />