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NOTE: PULL ALL k-cRMITS (Septic, Well, etc.) MAKE Q,-MES FOR FILE <br /> LAND USE REPORT RECORD ID: SU000644S <br /> DATE RECEIVED by EHD: February 21,2007 APPL#: PA-0700055 Pre-Application <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE& SUBMIT BY: Wed, February 28, 2007 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 4100 W RIVIERA DR, STOCKTON APN : 10904020 21 <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�Gc1 /2t�/�r���lG3ci�fC�Z�� -- r�/75 .5!"�=Cr�'Z'-9ji.%�7) i/-l�c�`�✓.��c �/��1-t�� i�2ffE� t��'� <br /> /ir•.t.'/� T�=I-� iYJ ' - • ./-��L 7d��� �.!i-N.�'2 �%��`�'�� �L�-=�'3�'y�-t%f�<�CiG � � <br /> I recommend: Approval ©' Denial Continuance F-1 Inspector• ry <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 2o;v <br /> r^�1 <br /> 1-1111:RVISOR/ LEAD SENIOR Approval: Date. <br /> OA 11 Check OK List: <br /> Proofread Report? Correct LAND USE#? j' r <br /> Conn-ect CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 February 21,2007 <br />