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NOTE: PULL ALL rERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006824 <br /> DATE RECEIVED by EHD: November 06,2007 APPL#: PA-0700499 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2660 <br /> DEVIATION(DV) <br /> COMPLETE& SUBMIT BY: Wed, November 74, 2007 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 4148 E WALLER RD, STOCKTON APN : 12204009 <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 /> •r7 7r�3 � � 1 51 v-X�c V- e r�s <br /> I recommend: Approval Denial Continuance Inspector El <br /> Signature <br /> 3upervisor/Lead Senior COMMENTS: <br /> ER 'ISOR/ LEAD SENIOR Approval: - <br /> Correct LAND USE#? <br /> i t,Logged in LAND USE Book? <br /> :H 06 06 Report#7201 November 08,2007 <br />