Laserfiche WebLink
NOTE: PULL ALL*r-eRMITS (Septic, Well, etc.) MAKE ovo-rtiES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004937 <br /> DATE RECEIVED by EHD: March 23,2005 APPL#: PA-04-779 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, April 5, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 2110 E THIRTEEN ST, STOCKTON APN : 17120012 <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 /> %�921��/ c�T�i�✓S R� '/ ,rU S�ii�.n� ��/zc� �li/i . 'aFz � � /,Ylf-ss� <br /> LL/l/d��'� <rls ' /���L� '��✓S �- I�IjG/� �l�6f!7c✓'L i �.�/rte l =v Zd <br /> l�i�.q�.✓?�[—<�'-fL/Gf�I���i�'�f'C�Sc3 •� � - s�c.�� �-yyG G17-Cc-/Z� �-f�dG<c�,��.4�� <br /> I recommend: Approval Denial Continuance Inspector• <br /> Supervisor/Lead Senior COMMENTS: Signature <br /> r )nr <br /> C'&'j 406d 4Z <br /> SUPERVISOR/LEAD SENIOR Approval: _ Date: ski' 2GUJ"� <br /> OA l/Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Ila-e2 March 24,2005 <br />