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NOTE: PULL ALL\,„ RMITS (Septic, Well, etcj MAKE GJIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU00081.44 <br /> DATE RECEIVED by EHD: March 12,2010 APDL 4: PA-0900291 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE&SUBMIT BY: Wed, March 31, 2010 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 11241 N THORNTON RD, STOCKTON APN : 05520003 <br /> n 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 /> tensity, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> iUMMARY OR COMMENTS: <br /> 63 A5 3111 111)° <br /> : recommend: Approval Denial Continuance Inspector <br /> iu ervisortLead Senior COMMENTS; <br /> ZZ T� '_d <br /> O <br /> Cil o� <br /> 2Z L 0 `Sf <br /> ;CIPERVISOR/LEAD SENIOR Appro aL Date: <br /> C©rred LAND Set <br /> t <br /> 1OA U Check Off L►st " Proofread` g' <br /> Correct CONDIT°ION(S) Logged an LAND L7SE Book T ` <br /> iH 06 06 Report#7201 March 15,2010 <br />