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NOTE: PULL ALLh.,,�RMITS (Septic, Well, etc.) MAKE JPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005757 <br /> DATE RECEIVED by ERD: November 04,2005 APPL#: PA-0500692 <br /> Referral Agency STAFF CONTACT: MORWARID I-IATIF PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, December 6, 2005 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 4175 E HORNER AVE, STOCKTON APN : 15730004 <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 /> I recommend: Approval Denial Continuance El Inspector: �— <br /> Supervisor/LeadS1e/nior COMMENTS: <br /> o <br /> A <br /> SUPERVISOR/LEAD SENIOR Approval: Z �� <br /> i 111 1 011111 Elio <br /> ' - <br /> EH 06 06 Report#7201 November 04,2005 <br />