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NOTE: PULL ALL,--__,cRMITS (Septic, Well, etc.) MAKE _,AES FOR FILE
<br /> LAND USE REPORT RECORD ID: SU0008326
<br /> DATE RECEIVED by EHD: June 24,2010 APPL#: PA-10001.35
<br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2632
<br /> SITE APPROVAL-GENERAL(SA)
<br /> COMPLETE & SUBMIT BY: Wed, July 14, 20'10
<br /> Assigned to: EE0005944 ESCOTTO
<br /> SITE ADDRESS: 4274 S HWY 99 , STOCKTON APN : 17917236 37
<br /> [n 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 /> 5
<br /> recommend: Approval Denial Conti anceEl
<br /> Inspec or
<br /> Signature
<br /> Supervisor/Lead Senior COMMENT l
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<br /> SUPERVISOR/LEAD SENIORt• Approval: Date: 7t q1_10
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<br /> EH 06 06 Report 47203
<br /> June 28,2010
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