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ff <br /> NOTE; PULL ALERMITS (Septic, Well, etc.) MAK OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007549 <br /> DATE RECEIVED by EHD: January 16,2009 APPL#: PA-0500729 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2633 <br /> SITE APPROVAL-MAJOR(SA) <br /> COMPLETE &SUBMIT BY: Tue, February 3, 2009 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 4000 W UNDINE RD, STOCKTON APN : 1910701.6 <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 /> .UFS�z r.�G�� Gr��.�5�-� �c�Jl-��_�e 2�Tr� • .._ <br /> I recommend: Approval Denial Continuance Inspecto <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: `D <br /> [1d Gore - R <br /> �Ic brit <br /> -0 ITN YTec13 f117Sa7 <br /> EH 06 06 Report 47201 January 21,2009 <br />