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NOTE: PULL ALL*-ERMITS (Septic, Well, etc.) MAKE ..JPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004971 - <br /> DATE RECEIVED by EHD: April 05,2005 APPL#: PA-05-187 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2690 <br /> COMPLETE& SUBMIT BY A S A PY-o <br /> t I Ios LOT LINE ADJUSTMENT(LA) <br /> R. o ( Assigned to: EE0005366 MEDINA <br /> SITE ADDRESS: 8937 E LIVE OAK RD, STOCKTON APN : 06305016 <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 /> ame of Purveyor Name of System <br /> SUMMARY OR COMMENTSj/ <br /> i <br /> I recommend: Approval Denial Continuance Insptor: <br /> Si uature <br /> "Supervisor/Lead Senior COMMENTS: <br /> 1 <br /> SZ�• <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA H Check Off List: proofread Report? 4V Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 5 April 07,2005 <br />