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NOTE: PULL ALL MITE (Septic, Well, etc.) MAKE PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006000 <br /> DATE RECEIVED by EHD: April 11,2006 APPL#: PA-0600197 <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, May 2, 2006 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 757 N WINDSOR AVE, STOCKTON APN : 14323013 <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 /> Le • � e.�Z/.c%-,�,E1�is Tc�, �b��/L.�%Z i —/Z��/� T7`fi�� r /Scs� <br /> CEJ , �aG7 i(.4 2--7 2 0 !t' �c /Z�7.e_i� p��K66l �J A Ct 3r�o-//in 5 xej,e s� <br /> f�/�/�3�P�y_� a�i•✓d l C�G z T.��s��Gs �i E��Iryx la�� ,G <br /> I recommend: Approval ©' Continuance Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> All SCJ S 7°► ' -cJ <br /> vhw <br /> y _ , <br /> -e s <br /> SUPERVISOR/ LEAD SENIOR Approval: -s Date: , �6 <br /> OA{l/Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 April 12,2006 <br />