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IsityNOTE: PULL ALLN- RMITS (Septic, Well, etc.) MAKE t—rPIIES FOR FILE <br /> NO USE REPORT RECORD ID: SU0007457 <br /> DATE RECEIVED by EHD: October 31,2008 APPL#: PA-0500224 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE & SUBMIT BY: Tue, November 18, 2008 <br /> Assigned to : F.F.0005944 ESCOTTO <br /> SITE ADDRESS: 11330 W SPUD ISLAND , STOCKTON APN : 12929001 <br /> , <br /> ompleting the Land Use investigation. draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> plies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> MARY OR COMMENTS: <br /> ecommend: Approval El Denial ❑ Continuance Inspector: <br /> Signature <br /> ervisor/Lead Senior COMMENTS: <br /> ERVISOR / LEAD SENIOR Approval: - — Dates <br /> /I Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDI?ION(S)? Lo-ged in LAND USE nook? <br /> 00 tiCpV(1 a�J ,"oulm 1 'iins <br />