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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004866 <br /> DATE RECEIVED by EHD: March 01,2005 APPL#: PA-05-86 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE&SUBMIT BY: TUBS. March ayZ a005 <br /> � Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 6393 N PACIFIC AVE, STOCKTON APN : 09746325 <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 Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval ❑ Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> O <br /> /6 :0y <br /> o ; oS <br /> 9�y : ol <br /> SUPERVISOR/LEAD SENIOR Approval: Date: J <br /> OA 11 Check Off List. Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 March 03,2005 <br />