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NOTE PULL A11./ERMITS (Septic, Well, etc.) MAK6_�OP1ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005597 <br /> DATE RECEIVED by EHD: September 06,2005 APPL#: PA-0500583 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2691 <br /> GP AMENDMENT 10+acres(GP) <br /> COMPLETE&SUBMIT BY: Wed, September 14, 2005 <br /> Assigned to : EE0009649 ESTRADA <br /> SITE ADDRESS: 5382 E MAIN ST, STOCKTON APN : 17328027 <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 Inspector: <br /> Signatw <br /> Supervisor/Lead Senior COMMENTS: <br /> I v o ,' <br /> �A <br /> i <br /> SUPERVISOR/LEAD SENIOR Approval '' f Date: <br /> OA 11 Check Off List: .Proofread Report? i ': j` Corfect LAND USE 4? <br /> Correct CON DITION(S)? -Logged in LAND USE Book'?. <br /> FH 06 06 Report 47201 September 08,2005 <br />