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NOTE: PULL ALL-VERMITS (Septic, Well, etc.) MAKIMOPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005892 <br /> DATE RECEIVED by EHD: January 24,2006 APPL#: PA-0600023 <br /> Referral Agency STAFF CONTACT: CEALY LEIN PE • 2660 <br /> DEVIATION(DV) <br /> COMPLETE&SUBMIT BY: Tue, February 14, 2006 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 2269 S HOLLENBECK RD, STOCKTON APN: 18317010 <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: i <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> � S <br /> 0 G v 7P <br /> •I Nr � <br /> aro - w � >✓, +r S — — <br /> z " 01 - W P r:1VJ0k JL S <br /> ie,.t yJz �r J ,fe w•a4w <br /> If-Aw <br /> �l� — / !/✓�Y)SeY —KIS S�aewL /S�-«cr�ac�►✓to_ tY►-� v.C..✓"raQ, <br /> I recommend: Approval Denial Continuance 'if pector ls- o <br /> Signa u <br /> Supervisor/Lead Senior COMMENTS: <br /> A 1i Dia — c <br /> - <br /> b <br /> C %O s L �t- <br /> _ 0A40 <br /> 1 0- w <br /> O w��t <br /> �E) ZVO;o2 BVI ik,�f /dLnr�il� ( ) ZLL4) <br /> SUPERVISOR/L^AD SENIOR Approval: Date: <br /> OA II Check OH List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> Fy <br /> EH 06 06 Report#7201 Jana 2 <br /> �7' <br />