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NOTE: PULL ALLIPERMITS (Septic, Well, etc.) MAKE CURES 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: <br /> """' 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 com ��te ap ar a wing ation <br /> density, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: 0 <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> ,��1.1��71�-CG.�ST.L@/C/7c�/5 �� Gy 9'�.C���e.�S Lf7��d2�r��Ct>C/���'`�'�1�1�_/i✓ <br /> I recommend: Approval 2 Denial Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> LJ <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: eeze <br /> OA 11 CheckOff List: Proofread Report? Conwt.LAND USE 4?' <br /> Correct CONOTTION(S) - Logged,in SAND USt Book? <br /> EH 06 06 Report 97201 Page 1 August 03,2004 <br />