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NOTE: PULL ALL ITS (Septic, Well, etc.) MAKE Oe6P1ES FOR FILE <br /> LAND USE REPORT RECORDID: : 1i-dk00 $UCW'5Ca3 7.g <br /> DATE RECEIVED by EHD: May 03,2005 APPL#: PA-0400789 (5ut7ct75o^aa/b��su� <br /> Referral Agency STAFF CONTACT: RAYMOND HOO PE : 2611 ' ogp�a( <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE&SUBMIT BY: -- om" y��, <br /> ' L tAssigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 4860 E MAIN ST, STOCKTON APN : 173321004 TO 07 <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 /> - -�KL�.Cirr�r�����/1<€�c�� � T.f€� �rt��cs .����✓a�.e�� <br /> a <br /> I recommend. Approval ©' Denial Continuance Inspecto <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> lJv � y <br /> ed <br /> r <br /> yD-o7 � � <br /> SUPERVISOR/LEAD SENIOR Approval: — Date: G �Q <br /> OA l/Check Off List•. Proofread Report? Correct LAND USE#? <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 <br /> May 09,2005 <br />