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F NOTE: PULL AL,,, ERMITS (Septic, Well, etc.) MAK COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00006926 <br /> DATE RECEIVED by i HD: January 2.5,2008 APPL#: PA-0800027 <br /> Referral Agency STAFF CONTACT: PATRICK CROSBY PE : 2622 <br /> SUBDIVISON-MINOR.(MS) <br /> COMPLETE& SUBMIT BY: Tue, February 19' 2008 <br /> Assigned to : EE0007,379 BOERT[EN <br /> SITE ADDRESS: 11981 S ROBERTS RD, STOCKTON APN : 1911500-1 <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 snap 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 GR COMMENTS: <br /> I recommend: Approval Denial F1 Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 6 <br /> 11 OG7 4, 1J� CQ( ; <br /> G z-2 O Z i� d TT--) <br /> SUl1I'1 2VISOR/ LEAD SENIOR ApproNal: _ Date: D 7 <br /> QA ,7 Check Off List: Proofread Report'? Correct LAND USE 4? T <br /> Correct CONDI7'ION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 January 25,2008 <br />