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'01F—T- _ <br /> r 1 � <br /> t NOTE: PULL ALI:, _, RMITS (Septic, Well, etc.) MAKE v 7P1ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004509 <br /> DATE RECEIVED by EHD: June 15,2004 APPL#: PA-04-314 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE: 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 743 S MODESTO AVE, STOCKTON APN : 14516020 <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 /> r <br /> I recommend: Approval ❑ Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: <br /> s <br /> C' orfrgd Report`:_ CarreaLAND USE# <br /> OA I/Chjck Ofbst: ° Prod <br /> ° <br /> re CONIedinLAND USE Book?, ' <br /> .. <br /> EH 06 06 Report 47201 Page 2 . June 18,2004 <br />