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t <br /> NOTE: PULL ALLVERMITS (Septic, Well, etc.) MAKEVbPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005780 <br /> DATE RECEIVED by EHD: November 21,2005 APPL#: PA-0500762 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, December 6, 2005 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 11573 E NORMAN AVE, STOCKTON APN : <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 /> 4-t <br /> /2 5 4-• vi <br /> 11 : a S Sw` ula .�-r S N _ Cl-' ll_AIZV/e5 1 <br /> V <br /> 2Q2•, 01 � 4� C.® e <br /> I recommend: Approval Denial Continuance Inspec <br /> s;guatar-a----- <br /> Supervisor/Lead Senior COMMENTS: <br /> 0-2) ;--1 <br /> 2a <br /> SUPERVISOR/LEAD SENIOR Approval Date: <br /> Ir <br /> /SCh L Pr p� � <br /> EH 06 06 Report#7201 November 22,2005 <br />