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NOTE PULL ALL ,ERMITS (Septic Well etc ) MAKE..APIES FOR FILE <br /> RECORD ID: SU0004983 <br /> LAND USE REPORT <br /> DATE RECEIVED by EHD: April 12,2005 APPL#: PA-04-699 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, May 3, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 138 N WAGNER AVE, STOCKTON APN : 15902025 <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 /> �G Lem� t[� lh�(31 Gl)CJ/i/m ii.�=/�c�/1//75 L�e� .��T.�✓�z/sn s�lv�7 f3'� f<crg <br /> f�92G / i4 i?��r/tet/ �41stG� ,, s Tis sr7�es rz nec�t�z� <br /> f3e37ii/F, �l�Zy/Gert B�/ /�c�[ ,G Li.�2fr 4��/E�L" C.Z'/I s�.�ii��4GfLL�/1S J�.9POS��. <br /> • /��'1C� �Z ct~a,�s.�s .�f��v ��,v,�/E-��1�it���• a���s�s��.�- " <br /> /o vS <br /> I recommend: Approval 2 Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Sunervisor/LeadRSenior COMMENTS: <br /> (J <br /> - oS <br /> SUPERVISOR/ LEAD SENIOR Approval: . .>'.,- Date: <br /> OA 11 Check OH List Proofread Report? 0 Correct LAND USE#? 7 <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> ['H 06 06 Report 47201 page5 April 13._GO�_ <br />