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NOTE: PULL ALOPERMITS (Septic, Well, etc.) MAKEL$PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005998 <br /> DATE RECEIVED by EHD: April 11,2006 APPL#: PA-0600193 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE& SUBMIT BY: Wed, April 26, 2006 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 1104 W LINCOLN RD, STOCKTON APN : 09740311 <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 /> xz 0175 criL/F7 <br /> Z/ S�l� C17✓StSZc� G� �f /1�/ — ,fs «tr7>Yrdc Y42Q5 12 s cL <br /> • ,(JO c:A�GtG�tlii .i9z'I=/�sc3� n✓���L✓ " �.wT�-y•PG1/ys �„c�-a� 6uz � <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> ray <br /> 0 5 zi <br /> �0 0 <br /> SUPERVISOR/LEAD SENIOR Approval: ,> Date: <br /> OA 11 Check Off List.- Proofread Report? T'" 'CoriacfLAND USE 1!'? <br /> ,Aww1Corral Cp',DC170N(S)? _.. Loggcd in LAND USE Book? .'.. <br /> EH 06 06 Report 47201 April 12,2006 <br />