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NOTE: PULL ALL . cRMITS (Septic, Well, etc.) MAKE .,PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006553 <br /> DATE RECEIVED by EHD: May 08,2007 APPL#: PA-0700209 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, May 22, 2007 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 3000 N WEST LANE , STOCKTON APN : 11708001 <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 /> 946- <br /> ' elp— . zr/K Z`l S 1 �f Cl IcJE Ae77t3) . <br /> /� Z 1� yL 7•fc 'ti'7 ��l.�-!� •pit . <br /> I recommend: Approval �/ Denial Continuance Inspector: , <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> L <br /> � D : o � <br /> 2- <br /> /0 <br /> /v 2 - 0 <br /> U2 ; U <br /> SUPERVISOR/LEAD SENIOR Approval: / Date: <br /> OA II Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 97201 May 08,2007 <br />