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NOTE: PULL ALL . _RMITS (Septic, Well, etc.) MAKE IWIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006561 St{000ly <br /> DATE RECEIVED by EHD: May 15,2007 APPL#: PA-0700174/A4-070r1/ <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2631 l'�'Z0('& <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, June 5, 2007 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 2417 N MYRAN AVE, STOCKTON APN : 11924018 <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 /> [!Z) 4,e2- <br /> �c.!s��� �.�°��.�J • l5r'i�/off) <br /> • `f�/5.l�-✓—' L�n.�:j'C-/�l.S i./1���G5�Gl7lLJ�i� /�+�41-�G L����L � ��Z <br /> L'C G�'-�� G� 7�i�5u� �C /Gt r✓uc J/ ►4/7 -/Z 1-4hebe-:7-:7 7- <br /> I recommend: Approval Denial F� Continuance Inspecto . <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 0 oh I LL6' I./1 <br /> SUPERVISOR/LEAD SENIOR Approval: �. Date: <br /> OA 1Check Off Lista`r ...' p "X' •r r„ '� «'r� ... P Y � E <br /> '`� w ;Grorrecf CQNDITION(S) :.zr,ie <br /> EH 06 06 Report#7201 May 16,2007 <br />