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Tti NOTE: PULL ALL%b RMITS (Septic, Well, etc.) MAKE o-rPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006277 <br /> DATE RECEIVED by EHD: September 26,2006 APPL#: PA-0600529 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, October 17, 2006 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 2434 E WATERLOO RD, STOCKTON APN : 14128219 <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 /> T �3 , Lir �.�►- �. >�nr � i�u� Fran f7mr <br /> -elf T�G"Iui✓• liol�/a 1 <br /> Sl7cs c'�✓T�Ii.✓S.wc°�/it�c 4i.JT./G� �r�J7. A32L+r A G90 �Y1�.:+PG .acs lf'/��k_.rn(r3cyJ <br /> Td 7.3esLLSr�AS�¢�.� n .3',[YJ/���"� �! n/9- 7rst("� �fi,.✓+T/tr�lAf'/�iJ� <br /> - LLt��c -,xd-� fr.�Ar/.n�-d15�t • .�J��/.CR�/�6i. c�,d�cs/�i����r.�.c�t�P.vu�iFc�.�O�-� <br /> ' S <br /> I recommend: Approval Denial F-1 Continuance Inspector: ' <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> O7 <br /> A 20 - J <br /> C tc2 D <br /> D (o2, oS <br /> L ^ I <br /> /JZ. OI r{ e(.p ti-U �XCtnn . -t .: -r (` ti <br /> SUPERVISOR/LEAD SENIOR Approval: Date: r E7 <br /> 3H 06 06 Report 47201 September 27,2006 <br />