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r NOTE: PULL Ak.)ERMITS (Septic, Well, etc.) MAK,__tOPIES FOR FILE.- <br /> LAND <br /> ILELAND USE REPORT RECORD ID: SU0006924 <br /> DATE RECEIVED by EHD: January 25,2008 APPL#: PA-080001 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2631 <br /> SITE APPROVAL-MIN �. <br /> COMPLETE & SUBMIT BY: Wed, February 13, 2008 <br /> Assigned to : EE0007379 BOERTIEN _ <br /> SITE ADDRESS: 3798 S HWY 99 , STOCKTON APN: 17917132 <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: plA Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: 2�22�8 <br /> r21 - J I 1/[te.l-G :I C.��^. \-y iJC-� v..l-=J WfJ7.Q c :,^.4 11 <br /> 1/ f3 Stale mt.l.r Ler<c.a C.wer '-`••'e�•"z <br /> r j9 k�'U&r f1�, h" <br /> I recommend: Approval Denial Continuance Inspector:_ <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 0 <br /> rzzo <br /> <" -YT?.µ <br /> r,; <br /> TC4 (j <br /> — _ <br /> SUPGIt V:SOR/ LEAD SENIOR Approval: _ _ --- —-- - Date: <br /> OA 11 Check Off List: Proofread Report? - f- .Correct LANDS <br /> Correct CONDITION(S)? - "Logv d in LAND IJ <br /> [H 06 06 Report#7201 January-25;l'8 <br />