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rot <br /> •ti. K" NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE t6PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004845 <br /> DATE RECEIVED by EHD: February 18,2005 APPL#: PA-05-69 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE: 2690 <br /> a/� LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY:Aqja <br /> _ ' o5 <br /> I Assigned to• EE0005944 ESCOTTO <br /> SITE ADDRESS: 3510 S MOURFIELD AVE, STOCKTON APN : 17515030&47 <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 /> t�C'✓Cc� /�CY� �,����I.�/.� CTyO1�2�"x57<•y6 �G csC/�G 7633 <br /> I recommend: Approval D Denial F1 Continuance Inspector• <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> rk <br /> SUPERVISOR/LEAD SENIOR Approval: Date: ✓ <br /> OA I!Check Off List. Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 0201 Page 1 February 22,2005 <br />