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r "x *A- NOTE: PULL ALIS F,:RMITS (Septic, Well, etc.) MAKE PIES FOR FILE ^ <br /> LAND USE REPORT RECORD ID: SU0005121 <br /> DATE RECEIVED by EHD: June 24,2005 APPL#: PA-0500376 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE: 2690 <br /> 5 LOT LINE AD.)USTMENT(LA) ' <br /> COMPLETE&SUBMIT BY: AbAF—bY: (get <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 3935 E SUNNY RD, STOCKTON APN: 18113044 <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 /> [ recommend: Approval Denial Continuance Inspect <br /> Signature <br /> Su ervisor/Lead Senior COMMENTS: <br /> �g <br /> SUPERVISOR/LEAD SENIOR Approval: Date: "" <br /> e S <br /> n <br /> . a . <br /> EH 06 06 Report#7201 June 27,2005 <br />