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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005027 <br /> DATE RECEIVED by EHD: May 03,2005 APPL#: PA-0500247 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2622 <br /> SUBDrMON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, May 17, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 15445 E WILDWOOD RD, STOCKTON APN: 20314001 <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 /> <��a�7L;?.Zi'�z(l-.e:• �.�/tet-/mss ) �1 <br /> - 4T?'-I 7.-n:c <br /> 1. //-0-) B)2.2 :e-z . /1a'2ll r7,e bj;Vy It&-9 i •<A n . b - PA-eYr"'-34,E <br /> I recommend: Approval ©' Denial � Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> ad <br /> Jc- <br /> -2vo '/4 <br /> • <br /> In'4dl- � <br /> G, 11 : 0 3 a. <br /> SUPERVISOR/LEAD SENIOR Approval: Date: �oJ <br /> OA 11 Check Off List: Proofread Report? f V Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 09,2005 <br />