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r e <br /> RB <br /> NOTE: PULL ALL PERnMS (SEPTIC, WELL, ETC...) NM COPIES FOR FILE <br /> LAND USE REPORT APP#: PA-04-86 (SA) <br /> EHD RECEIVED APP.REFERRAL: 3/10/04 COMPLETE & SUBMIT BY: 4-08-04 <br /> DATE DATE <br /> ATTN: RICK GRIFFIN <br /> SITE ADDRESS: 9350 NORTH THORNTON ROAD, STOCKTON <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw a completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senio Comments: <br /> 20 0d y <br /> C. M :01 <br /> n. ion. ®� <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> EH Ob Ob Rev 1/99 .4��C OCK©F LIST. <br /> p}"pUflCCll @ Q117 COITE'Cf .USE#� <br /> h �AN�?USE�3f�Q11`T', <br />