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A <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008792 <br /> DATE RECEIVED by EHD: June 17,2011 APPL#: PA-1000268 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE &SUBMIT BY: Tue, July 5, 2011 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 2031 E RALPH AVE, STOCKTON APN : 17723012 <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 /> iL-5/7e—Cr.J`7y, f 1/ 3 S e6 Ag77 -L <br /> OP - <br /> I recommend: Approval ® Denial El Continuance ❑ Inspector <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> r <br /> SUPERVISOR/LEAD SENIOR Approval: Date: l/ <br /> yDA'1!Check Off Lrst Yt oofiaad hepar(?$gig :;; ga. E gMW <br /> 4 Cotx ect I AiDJSE# <br /> ea. ;Iir.s,; ,,..�,s— ,;ea.c€4: 'X41€'& a .',�- ::» <br /> T{ ,. s, r 5 d:"i ..!@a,.a rr _ <br /> s. s ..� 1..�._'�s. ?'. '1 C,�E�-'.¢�p'e�Til ...���� � '�" �sf aa <br /> E <br /> EH 06 06 Report#7201 June 2 1,201 1 <br />