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NOTE: PULL ALL%,dRMITS (Septic, Well, etc.) MAKE..41PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004651 <br /> DATE RECEIVED by EHD: September 28,2004 APPL#: PA-04-532 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE&SUBMIT BY: Tue, October 18, 2004 <br /> Assigned to : EE0001456 BESS <br /> SITE ADDRESS: 3291 S ST RT 99 W FRONTAGE RD, STOCKTON APN : 17909012 <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: 41 hz Public Sewer: � <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: yy�� —/ <br /> >/ �/�.� �(O(� /`CY AL/ i�flyl /J�_J'�K !•?.. ��Gb+�i!'�^r f/�ili�� <br /> Z� <br /> J�; Qz�i <br /> I I✓W✓/ N� /�I�.' _✓�V(^V���Y / Y �'T /tl��/� Ate'hP� <br /> 7 <br /> I recommend: Approval Denial Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> or fe <br /> a Y- e <br /> -IC <br /> n', <br /> �_ <br /> .,"'o <br /> SUPERVISOR/LE SENIOR Approval: Date: �' ? <br /> Correct LAND USE#? <br /> -Logged in LAND 6SE Book? <br /> EH 06 06 Report#7201 Page 8 September 30,2004 <br />