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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006334 <br /> DATE RECEIVED by EHD: November 28,2006 APPL#: PA-0600605 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, December 19, 2006 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 4125 N WEST LANE , STOCKTON APN : 11531022 <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 /> �,�Si7�cm✓v—�'✓.eL�9�/QKG- iCe�13C�i.�s ��- ../>rffiu-E�.H �G��% �,,�s C:-7�.at�E-�'�i. <br /> ss Si�+2.Y<r.tom-4G�i71r3 rr✓Zvfr'"«��7s1i� <br /> • 76/�!h'!7[',�1=5��Ci'�✓Sofl�-E G�.��i� �7� /5/-,t�t�Gt.�� i���ftsi�li��6�yNF� .-8¢¢�_ <br /> i <br /> cc S�cs7c�iS G�frE/ �Y�?rte Lrc% t a✓�'@J ZS7i4eg�rF <br /> 77sf5��'Z[-P✓I/SG'��Cy/i7c� �9'�1Zr/�TlYc� .0�7��"3F�CE-l?/h�'75`�.2'Y/•'yJs.�c�.fFtLYiY�=1cI� <br /> Zcet 20: A4 d <br /> I recommend: Approval DenialEl Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> D`7 <br /> G 1�•v'L <br /> D� 22 =off <br /> SUPERVISOR/LEAD SENIOR Approval: ` Date: <br /> �ect li_AND� E`kf i. <br /> 31 <br /> oo ih 11% <br /> .✓6, 1)u <br /> EH 06 06 Report 97201 November 30,2006 <br />