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NOTE: PULL ALL kRMiTS (Septic, Well, etc.) MAKE trd/PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004847 <br /> DATE RECEIVED by EHD: February 15,2005 APPL#: - 5-55 <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES PE : 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE&SUBMIT BY: Wed, March 2, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 3838 N PLYMOUTH RD, STOCKTON APN : 11102003 <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 /> (/j Z—WG / �i/71� ���� > 3�32.� sF�/a/ (4-4 <br /> r313/G�s� <br /> �4 Gf tZ—1 jt�ft&0 e--, f4�) ,FI <br /> Zf/�-,e9 f,::;K� <br /> Ila <br /> I recommend: Approval Q Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 0 <br /> 7 <br /> ^ a 3 7 <br /> 0- /- J" <br /> aZ 0 d <br /> 12 <br /> SUPERVISOR/LEAD SENIOR Approval: - Date: <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 Page 3 February 22.2005 <br />