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NOTE: PULL ALh-rrRMITS (Septic, Well, etc.) MAK15 .^OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005021 <br /> DATE RECEIVED by EHD: April 26,2005 APPL#: PA-0500224 C �A� <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2626 <br /> USE PERMT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Mon, May 2, 2005 <br /> Assigned to : EE0000811 HUGGINS <br /> SITE ADDRESS: 11330 W SPUD IS, STOCKTON APN : 12929001 <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 /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Check Off List Proofread Report? Comet LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 09,2005 <br />