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NOTE: PULL <br />ITS (Septic, well, etc.) MA <br />LAND USE REPORT <br />DATE RECEIVED by EIID: May 17, 2005 <br />Referral Agency STAFF CONTACT: RICK GRIFFIN <br />COMPLETE 8, SUBMIT BY: Tue, June 7, 2005 <br />KE{ IPIES FOR FILE <br />RECORD t16: SU0005054 <br />ADPL #: I'A-0500216 <br />PE : 263I <br />SITE APPRO'V'AL - NILNOR (SA) <br />Assigned to: EE0005944 ESCOTTO <br />SITE ADDRESS: 2365 E ALPINE AVE, STOCKTON APN : 11903519 <br />[n completing the land Use investigation, draw all Public I lealth factors on the exhibit (i.e., sewage disposal, water <br />supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete snap ofarea showing population <br />Aensity, location OfhOuse, Nvind direction, etc..... <br />Public Water; Public Sewer: <br />Name of Purveyor Name of Sy�stern <br />SUMMARY OR COMMENTS: <br />—"*LF�L-3JLEc1 " .G�f� �"i�!/?S C.1s`�--'.�r72 ?.2�5� c?/�S .�z�Y•c <br />Z3 � �/cu,� 3 3�ti �- 332 � ,u c.,%•�fi�� <br />[ recommend: <br />� Signature <br />Supervisor/Lead Senior COMMENTS: <br />7. <br />-fD:0 <br />A. <br />• .iy�.0 <br />`-, - 04• <br />SUPERVISOR / LEAD SENIOR Approval: Date: �� IL'y'' <br />OA 1J Check Off List: Proofread Report?.!:-;-.. <br />Correct LANs) USE 4'? <br />Correct CONDITIONS) ? Logged in L..kNI7 <br />USE Book? <br />EH 06 06 Report47201 May 18, 2005 <br />