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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE C�>PIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500006235 <br /> DATE RECEIVED by EHD: August 31,2006 APPL#: PA-0500006 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE&SUBMIT BY: Wed, September 13, 2006 <br /> Assigned to : EE0007379 BOERTTEN <br /> SITE ADDRESS: 4320 S HWY 99 , STOCKTON APN : 17917234 <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 /> �� Ghv�-o+r".-r-e rtid20 ��Le /Z�r �a�.-.e�r"� Jar n-•� f' <br /> h" cC4 }p th s /Z L/ Cipy'i .4PP20z,, F "-> i9cTio " s- <br /> I recommend: Approval N Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> i <br /> SUPERVISOR/LEAD SJTNj(ii: Apprmal: Date: <br /> OA II'heck ON List Proofread Repoil? r Correct LAND USE#? <br /> Cottul C0ND1l10N(S)`? - Logged m 1_AND USE Book? <br /> EH 06 06 Report#7201 August 31,2006 <br />