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NOTE; PULL ALS ERMITS {Septic, Well, etc.) MAKk PIES FOR FILE <br /> RECORD ID: SU0005092 <br /> F LAND USE REPORT �-_ <br /> DATE RECEIVED by EHD: June 15,2005 APPL#: 2690 <br /> pE ; 2690 <br /> Referral Agency STAFF CONTACT: KARLA KUHL LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: " <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 983 PALOA AVE, STOCKT04 <br /> APN: <br /> M <br /> Tn 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: <br /> Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> • i(ld!mss �'�iu�5'LS`Z�/s dZ.�r.,LGI Cl�Gfi-Zr� div dL�� �T Z�' <br /> : 14 /sw <br /> [recommend: Approval 2 Denial Continuance Inspector: <br /> 6V�1'0�A 621 Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> r <br /> t <br /> f <br /> E <br /> SUPERVISOR/LEAD SENIOR Annroval <br /> e <br /> June 15,200` <br /> EH 06 06 Report#7201 <br />