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NOTE: PULL ALL y.RMITS (Septic, Well, etc.) MAKE PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007049 <br /> DATE RECEIVED by EHD: March 17,2008 APPL#: PA-0800070 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE & SUBMIT BY: Wed, March 26, 2008 <br /> Assigned to : EE0005944 ESC01'TO <br /> SITE ADDRESS: 1580 N REPORT AVE, STOCKTON APN : 14315011 <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 /> ���� f.3✓;/5/r� ���,I�.�fiC�/}lL T�C/11G�t.�%J Cr-Int/-1/G'�Y��l,��!`c�2�l-�c�>�'�l,�t�' �r.'r/.�?G-s <br /> l�u�2�,�, �� Li�/'��-t� ,�i.Fr/�tn�/SJ•�� � 1f�c�=,�G� � �lr-�i�� /�� <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: , Date: r� , <br /> F <br /> I Check Off List: Proofread Report?— Correct LAND USl ? <br /> Correct C0NDIT10N(S)? Logged in LAND tISE Book? <br /> EH 06 06 Report#7201 March 18,2008 <br />