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NOTE: PULL ALL%,.,.,.RMITS (Septic, Well, etc.) MAKE SPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004677 <br /> DATE RECEIVED by EHD: October 18,2004 APPL#: PA-04-614 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, November 2, 2004 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 7663 STOW AVE, STOCKTON APN : 18310003 <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 /> -�tGtS 11c�/�> T�ib�21 G1/Ji�i� i.�t�ZE�ili•� � ar,�(i)/�2���J//117��'L�x��l a�sL7� <br /> 6-;F,-*, SIL« Gam7 0 y7s /i�ci3il.�/.�L�'� SGa�7l� 5 ?�r�G�f-���Q✓r�s 7 <br /> r� i - 71fis�zei�s Cca2�cIui ,�� ,3, �/s� -Be <br /> zv Pat <br /> - / 4 <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> a— 1/ <br /> 0 �'►n <br /> � of L7 0 <br /> SUPERVISOR/ LEAD SENIOR Approval: r Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 17 October 22,2004 <br />