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NOTE: PULL ALS, ERMITS (Septic, Well, etc.) MAK.OPIES FOR FILE —� <br /> LAND USE REPOR'T RECORD ID: SU0006954 <br /> DATE KEC,tIVED by EHD: February 06,2008 APPL#: PA-0800043 <br /> Referral Agency STAFF CONTACT: KERRY SULLIVAN PE : 2634 <br /> IMPROVEMENT PLAN-MINOR(IP) <br /> COMPLETE&SUBMIT BY: Tue, February 12, 2008 <br /> Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 1623 E NORTHROP ST, STOCKTON APN : 17726026 <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 Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: 2i <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE ? <br /> Correct CONDITION(S)? Logged in LAND USI;Book? <br /> F11 06 06 Report#7201 February 07,2008 <br />