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NOTE: PULL ALL�RMITS (Septic, Well, etc.) MAKE �—,-PIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500006863 <br /> DATE RECEIVED by EHD: December 04,2007 APPL#: PA-0600524 REV DESC/SP <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2666 <br /> REZONING 5+acres(ZR) <br /> COMPLETE & SUBMIT BY: Fri, December 7, 2007 <br /> Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 2850 S JACKTONE RD, STOCKTON APN : 10324016 17 18 <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 populati <br /> density, location of house, wind direction, etc.... <br /> Public Water: N/A Public Sewer: N/n <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: �� S / <br /> r - <br /> ( � 1 <br /> I recommend: Approval El Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 07 - i , s S . <br /> iI, 3 0 <br /> o �ti S > s z o <br /> / ✓ J <br /> iCPEIMSOR / LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE h?_ <br /> Correct CONDJTION(S)? Lopgod ro E AND USE Poola <br />