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NOTE: PULL ALL ERMITS (Septic, Well, etc.} MAKE�`OOPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005953 <br /> DATE RECEIVED by EHD: March 14,2006 APPL#: PA-0600135 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2694 <br /> LOT LINE ADJUSTMENT(I A) <br /> i. <br /> COMPLETE & SUBMIT$Y: <br /> _14 w Assigned to : EE0007379 BOERTIEN <br /> � <br /> SITE ADDRESS: 6891 S ROBERTS RD, STOCKTON APN : 16211017 <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: ,Yr ��s� <br /> 4,jon Gtip <br /> l?v <br /> a . <br /> i; <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> C' <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> ! A c1[`t31frLs4 Etoofreadrt ': �I7E#� }' ' <br /> 'F.!r�. a . <br /> f_. G`b«r3r � O <br /> ,v`'3 x s n S 'izy,� .aq +�t4E 3a7 "aaS' ]� yr <br /> EH 06 06 Report#7201 March 14,2006 <br />