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NOTE: PULL ALL RMITS (Septic, Well, etc.) MAKE ' IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008111 <br /> DATE RECEIVED by EHD: February 19,2010 APPL#: PA-10000027 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Wed, March 10, 2010 <br /> Assigned to : EE0045944 ESCOTTO <br /> SITE ADDRESS: 2823 E MUNFORD AVE, STOCKTON APN : 17910014 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> >upplies, 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 /> 3UMMARY OR COMMENTS: <br /> �/�CG�7'c5�'liG,S'%'S'��7 ��tld✓7G'�71-�-i�/.5 �/lQc. 8d��-r�+"f C/-�7�P��� <br /> I recommend: Approval © Denial ❑ Continuance ❑ Inspects ` <br /> Signature <br /> itipervisor/Lead Senior COMMENTS: <br /> 3UPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: proofread:Report?. : Correct LAND US&#:? <br /> Correct CONDITIONS) Logged 4 a LAID USE Book? <br /> -H 06 06 Report 47201 February 23,2010 <br />