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yi w <br />NOTE: PULL ALL-,idRMITS {Septic, Well, etc <br />LAND USE REPORT <br />DATE RECEIVED by EHD: May 10, 2004 <br />Referral Agency STAFF CONTACT: RICK GRIFFIN <br />COMPLETE & SUBMIT BY: 'rue, June 1, 2004 <br />MAKE "OPIES FOR FILE' <br />RECORD ID: SU0004109 <br />APPL #: PA -04-238 <br />PE : 2660 <br />DEVIATION (DV) <br />Assigned to : EE0000149 BORGES <br />SITE ADDRESS: 2365 E ALPINE RD, STOCKTON APN : 11903519 <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 ]nap of area showing population <br />density, location of house, wind direction, etc.... <br />Public Water: Public Sewer: <br />Name of Pumeyor Name of System <br />C7'A.anT A "X7 nn r-�.a �...-,�...... <br />1 recommend: Approval <br />Su ervisorlLead Senior COMMENTS: <br />t. - <br />Denial Continuance F-1 Inspector: <br />Signature <br />SUPERVISOR I LEAD SENIOR Approval: <br />OA !I Check Off List Proofread Report" <br />Correct CONDITIONS) ? <br />Correct LAND USE # ? <br />Logged in LAND USE Book? <br />Date: <br />EH 06 06 Report #7201 Page 9 <br />May 12, 2004 <br />