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NOTE: PULL ALL 6..-AMITS (Septic, Well, etc.) MAKE t--.PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006033 <br /> DATE RECEIVED by EHD: May 09,2006 APPL#: PA-0600234 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2660 <br /> DEVIATION(DV) <br /> COMPLETE&SUBMIT BY: Tue, June 6, 2006 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 2210 N TOTTEN AVE, STOCKTON APN : 11927005 <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 /> Flu,.4y <br /> 4A/ <br /> moo✓ <br /> �r- <br /> �c�z .4) — Nd Cif Z�z <br /> I recommend: Approval �' Denial Continuance Inspector <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> z <br /> EH 06 06 Report 47201 May 09,2006 <br />