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NOTE: PULL ALL "AMITS (Septic, Well, etc.) MAKE b..AIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005669 <br /> DATE RECEIVED by EHD: October 05,2005 APPL#: PA-0500645 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE: 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE&SUBMIT BY:J&,t A, October 10, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 3858 S MOURFIELD AVE, STOCKTON APN : 17524027 <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.... L <br /> Public Water: �/ W—'d� Public Sewer: �� aw�r-'-- <br /> Name of Purveyor U Name of System <br /> SUMMARY OR COMMENTS: <br />— r�ii/S�lc: Zcca�: �i�//4�/DS� :�'i�L'i .tel%/i 76.t-Z d-5.4/F�-.�/��.f�{.,t•��ir//.�# <br /> ZluV f2J �x �CSSt��t3, cst/7e57�i/1F/�� 1217ylc%fi. - <br /> Zifssf�9S7�1n/3i/L� <br /> • %f/��3/�Li-� �l-!>it��l-' /iY�"L! G� .Vim L�G'e_,�✓1�7� BG)¢�s Lf=�2G�s rf-�lfCsc:re <br /> /j�s1c i�YL '/-F26d�1.a�1�.�t/1�ilZ 71r$6 T�.�o l-1/5 Gv«ni�2S <br /> 69/x! 9 Jcc1s ' G2 .2e-J 'GiS�bJ� C) .15•yJ <br /> I recommend: ApprovalEr Denial Continuance Inspector:42r�El <br /> Signature <br /> Supervisor/'Le/ad Senior COMMENTS: <br /> y <br /> 77 <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA II Check OH List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 06,2005 <br />