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t-- <br /> NOTE PULL ALL PERMITS (Septic, Well, etc.) MAKE COPT FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004897 <br /> DATE RECEIVED by EHD: March 08,2005 ADPL#: SU-01-07 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE&SUBMIT BY: Tue, March 22, 2005 Assigned to EE0000149 BORGES <br /> SITE ADDRESS: 11501 E JAHANT RD, STOCKTON APN: 00715027 <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 El Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: j <br /> OA 11 Check OH List: Proofread Report? Correct LAND USE 4? <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 Page I March 09,2005 <br />