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NOTE: PULL A6..iERMITS (Septic, Well, etc.) MAKE. 01PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005603 <br /> DATE RECEIVED by ERD: September 06,2005 APPL#: PA-0500564 <br /> Referral Agency STAFF CONTACT: CEALY LEIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, September 20, 2005 <br /> Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 9775 N ST RT 99 W FRONTAGE RD, STOCKTON APN : 12429005 <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 /> I recommend: Approval El Denial F] Continuance El Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> a ;L . D7 - <br /> SUPERVISOR/LEAD SENIOR Approval: Date: 2/01 <br /> 0,4 11 Check ON List: Proofread Report?%—% • � "-^ <br /> Correct CONDITION(S)? - . Logge 'in LAND <br /> EH 06 06 Report#7201 September 08,2005 <br />