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s <br /> NOTE: PULL ALL MITS (Septic, Well, etc.) MAKE l IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006685 <br /> DATE RECEIVED by EHD: August I3,2007 ADPL#: PA-0700365 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE ; 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, August 29, 2007 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 10420 N HWY 99 , STOCKTON APN : 08607034 <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 /> �L�7/�/!G�_ <br /> oa <br /> �- 4 - �, <br /> ��) UZ <br /> I recommend: Approval Denial Continuance Inspector: <br /> ((�/(j[ 1i57/. S57iu~ 7-Ufi1E3aG!/3(1.1Z Signakure <br /> �s7s�.r �, 6�Zoz `� � % !3m;a.3i�� <br /> S�ervisor/Lead Senior COMMENTS: i <br /> o <br /> 41 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> oA'r <br /> Pra <br /> i <br /> j Check Off List ofread i epart? :' „ f brremLAND USE 7 <br /> Cbi ect CO DTTIQiV(S) �k I og ed to I.�:I D CJSE'$ogl l � � <br /> b <br /> r-H 06 06 Report#7201 <br /> August 14,2007 <br />