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C NOTE: PULL ALi: ERMITS (Septic, Well, etc.) MAKE .0PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007415 <br /> DATE RECEIVED by EHD: October 10,2008 APPL#: PA-0800314 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE &SUBMIT BY: Tue, November 4, 2008 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 1350 N REPORT AVE, STOCKTON APN : 14315015 <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: .w. <br /> /l 'ZT�iS <br /> �, /���111��u�7 c-� ���Z�id� �d��'��1�/i✓G`,�.C�7J._x�JZ �`k�-Yt`�r'`G-9L!_c% ��` <br /> I recommend: Approval 10 Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> nL! <br /> SIJPFRVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND-USE ? <br /> 0wrect CONDI HON(S)? Logged in LAND USE Book? <br /> October 13,2009 <br />