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NOTE: PULL ALL AMITS (Septic, Well, etc.) MAKE L--IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006656 <br /> DATE RECEIVED by EHD: July 31,2007 APPL#: PA-0700163 <br /> Referral Agency STAFF CONTACT: KEVIN SVI.?NSON PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: 'rue, August 21, 2007 <br /> — Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 523 S OLIVE AVE, STOCKTON APN : 15724306 <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: �rr�l w!t��i Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: ,) <br /> I recommend: Approval ❑ Denial F-1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> �i <br /> 2Z � r;' / <br /> cek0 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: _ <br /> O,4 11 Check Off List. Proofread Report? Correct LAND USE# ? <br /> Correct CONDITIONS)? L,ogged in LAND USE Book? <br /> EH 06 06 Report#7201 July 31,2007 <br />