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NOTE: PULL ALLQRMITS {Septic, Well, etc.) MAKE PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006841 <br /> DATE RECEIVED by EHD: November 14,2007 APDL#: PA-0700481 REV SP <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Mon, November 12, 2007 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 3570 E MINER AVE, STOCKTON APN : 14339014 <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 /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: <br /> OA fl•Che'cIC Off:Lsist: ltioofread Rcp❑ f` b Q eft L�aE# " <br /> °Correct CQNp1T1ONR1?1— <br /> Eli 06 06 Report N7201 November 15,2007 <br />