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_ NOTE: PULL ALl ---RM ITS (Septic, Well, etc.) MAKE ,..;,SPIES FOR FILE <br /> LAND USE REPORT <br /> RECORD ID: SU0008301 <br /> DATE RECEIVED by EUD: June 11,2010 <br /> Referral Agency STAFF_ CONTACT: JO U D B APPL#: PA-1000123 <br /> PE : 2690 <br /> COMPLETE&SUBMIT BY: ` +r LOT LINE ADJUSTMENT(LA) <br /> SITE ADDRI;SS: 4519 E SHIPPEE LN, STOCKTON Assigned to : EE0005944 ESCOTTO <br /> APN : 08530031 32 <br /> In completing the Land Use investigation, draw allPublic 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 <br /> SUMMARY OR CCIMMENTS: _ Name of System <br /> ----------------------- <br /> d <br /> t recommend: Approval �' DenialLj Continuance <br /> Inspector: <br /> Su ervisarlLead Senior COMMENTS: Signature <br /> SUPERVISOR/LEAD SENIOR Approval <br /> 0 jPCheck'Off I rst 1' f eadEl epQrt7� a k a <br /> D to J �.4 <br /> EH 06 06 Report#7201 <br /> June 11,2010 <br />