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NOTE. PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004763 <br /> DATE RECEIVED by EHD: December 21,2004 APPL#: PA-04-764(PA) Pre-Application <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2689 <br /> GEN PLAN AMENDMENT 5-9.9 acres(GP) <br /> COMPLETE&SUBMIT BY r x /'1/05 <br /> " Assigned to : EE0000811 HUGGINS <br /> SITE ADDRESS: 4700 E MARIPOSA RD, STOCKTON APN : 17916018, 19,& <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 /> Qj:�a , <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> /D . <br /> 0-7 C l IPt - <br /> a ° <br /> /I2,eMa.�.w <br /> OL E/1/� <br /> STC <br /> SUPERVISOR/LEAD SENIOR Approval: ate: <br /> OA 11 Check Off List: Proofread Report? V Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Repon#7201 „�\� .A. `�., \1 Lj I(y Page 1 &I % I �� e+ December 31,2004 <br />