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NOTE: PULL ALL"PERMITS (Septic, Well, etc.) MAKE-1 0PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004997 <br /> DATE RECEIVED by EHD: April 19,2005 APPL#: PA-04-594 <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, May 3, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 522 S HINKLEY AVE, STOCKTON APN : 15724318 <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 /> - /ZG=`f�Zi�rY�yD¢7cot/b _ (�l�) ��-sc-�.�/5�3SG� R+r�.r�7�f+� i'�1�E�7C�rb •�c"2Ic3� <br /> i4uc?'7e�. 'At 10 : off ;r.) Z0' 01Y <br /> I recommend: Approval © Denial ❑ Continuance ❑ Inspector <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> o y_ <br /> A. /o : o s <br /> R . �o 0S (hl <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA l/Check OKList Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> LH 06 06 Repon 47201 Page 6 April 21,2005 <br />