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�s <br /> NOTE: PULL ALL'PERMITS (Septic, Well, etc.) MAKE 0UP1ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004588 <br /> DATE RECEIVED by EHD: July 28,2004 APPL#: PA-04-419 <br /> Referral Agency STAFF CONTACT: JIM VAN BUREN JR PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Assigned to EE0005944 ESCOTTO <br /> SITE ADDRESS: 90 N GERTRUDE AVE, STOCKTON APN : 15734402 <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 <br /> OR, COMMENTS: <br /> qt� 7 : 1 <br /> 7c�s• �� i'v <br /> I recommend: Approval Denial F-1 Continuance � Inspector: <br /> Signature <br /> Su ervisor/Lead Senior COMMENTS: � l� __ <br /> a <br /> LIZ, WIA- <br /> IV <br /> � r <br /> J <br /> U <br /> DrV <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> CN .IISE#lroofred ry '' <br /> e <br /> OA it Chick Off List: ,' <br /> ColTeOt CCNDIIIbN(S)? 4g ed in LAND USE Book? <br /> EH 06 06 Report#7201 Page 1 August 03,2004 <br />