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* <br /> -ftl RT <br /> NOTA: PULL ALL PE RMI TS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP#: PA-04-85 (LA) <br /> Exn RECEIVED APP.REFERRAL: 3110104 COMPLETE & SUBMIT BY:*ASAP - 3115104 <br /> DATE DATE <br /> ATTN:_JENNIFER JOLLEY _. <br /> SITE ADDRESS: 3800 EAST MUNFORD AVENUE, STOCKTON <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw a completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> D <br /> I recommend: Approval� Denial Continuance Inspector's Signature//(40" �r <br /> Supervisor/Lead Senior Comments: <br /> a � <br /> �0,6,c <br /> -06 <br /> SUPERVISORILEAD SENIOR APPROVAL: <br /> EMo6o6Rev 1r99 ' " CQ +n1raateadarij�izai p � + arIl_1 <br /> R. „,.6jCON <br /> ._.°.a�f.7g,4+C+f:ea' s ', ec as r E <br />