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- f <br /> NOTE: PULL ALL,—.RMITS (Septic, Well, etc.) MAKE I,,eiPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00007107 <br /> DATE RECEIVED by EHD: March 31,2008 APPL#: PA-0800093 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE &SUBMIT BY: Tue, April 15, 2008 <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 Inap 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 /> It/ 2-- <br /> A-) <br /> �i l � (E 7�)%1CJ71 li✓ .Z c�t/�/� GiE��t �J/� Gc <br /> I recommend: Approval 71 Depial Continuance Inspector <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> C2 <br /> SUPERVISOR /LF,AI) SENIOR Approval: i <br /> OA I!Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> March 31,2008 <br />