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NOTE: PULL ALL ftRMITS (Septic, Well, etc.) MAKE k,,.,0IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005331 <br /> DATE RECEIVED by EHD: August 23,2005 APPL#: PA-0500543 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE & SUBMIT BY: Wed, August 31, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 5113 E MAIN ST, STOCKTON APN : 15910004& 06 <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 /> RJE12 <br /> xW <br /> Cdls7!/ 1GE3G � Sr�lica 7s.Q=��t/7rY1fi/���2�cz�.5 tfl" rr��''c�/.S�s�c-� G1.tc�t/c�7a.�J <br /> P/!_A��ltn/ � d2)'Fh6 GfitD� G6 /�iGc cr—.�-�rt� ws CrP�JiGfZco./7.t�.�Ls .t�'J oJf � <br /> �L i 1��;/lfiC�i��,[,2'/17�1�Z ff�t/6o�i.� .9t� s���ic��•u-� .�r/��-��i,�:� r��s� <br /> i <br /> Aj a 20: : cls <br /> I recommend: Approval Denial Continuance Inspector: ' <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 0 <br /> 0.7 <br /> r y O <br /> --Lti.�C.d� J��•il`o <br /> r 2 � ' Q3 f ✓ <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: _•�� - - <br /> OA 11 Check OH List: Proofread Report? Correct LAND USE#? - <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH to 06 Report#7201 Au¢u3t24,2005 <br />