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ME <br /> i"40I'E: PULL ALL PERMITS (SEPTIC, WELL, ETC...} MA" COPIES FOR FILE <br /> LAND USE REPORT APP#: PA-04-128 (SA) <br /> EHD RECEIVED APP.REFERRAL: 3/31/04 COMPLETE & SUBMIT BY: 04/20/04 <br /> DATE DATE <br /> ATTN: RICK GRIFFIN <br /> SITE ADDRESS: 474 HOLDEN ROAD, STOCKTON <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage <br /> disposal, water supplies, etc...). Where necessary, on an attached piece of plain paper, draw a completed <br /> map of area showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> i5 <br /> I recommend: Approval it Denial Continuance Inspector's Signatu - <br /> Supervisor/Lead Senior Comments: <br /> L <br /> - 9 :D7 <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> 06 Rev 1/99 OA H CHECK OFF LIST: Proofread report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE BOOK? <br />