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,i <br /> NOTE: PULL Als,,_.,JERMITS (Septic, Well, etc.) MAKE t,.OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004628 <br /> DATE RECEIVED by EHD: September 02,2004 APPL#: PA-04-486 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: Q11016q <br /> — Assigned to : EE0001456 HESS <br /> SITE ADDRESS: 3371 S ODELL AVE, STOCKTON APN : 17510003,05,& <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 fiame of System <br /> SUMMARY OR COMMENTS: <br /> g O, r P 44Ay <br /> I recommend: ApprovalEr Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> Pr�sb <br /> Me Re ort. <br /> OLi lIµCheck Off List. <br /> ,,.. P �4— t LAI D.USE.#7 <br /> r.. <br /> orrecC.CgNDIT ON-�S)? � "U61 d itt L1 A,, USE Book? <br /> �._ ,. <br /> EH 06 06 Report#7201 Page 2 September 02,2004 <br />