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NOTE: PULL AL%.1 -ERMITS (Septic, Well, etc.) MAKE "43PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005!go <br /> DATE RECEIVED by EHD: June 20,2005 APPL#: PA-0300561 <br /> Referral Agency STAFF CONTACT: RAYMOND HOO PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE& SUBMIT BY: Tue, July 5, 2005 <br /> Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 2342 N TEEPEE DR, STOCKTON APN : 13208010. <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 F-1 Denial F� Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> r <br /> SUPERVISOR/ LEAD SENIOR Approval: 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 97201 _ June 20,2005 <br />