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NOTE: PULL ALL 6.—d'tMITS (Septic, Well, etc.) MAKE �-._PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005662 <br /> DATE RECEIVED by EHD: October 05,2005 APPL#: PA-050048 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 51- <br /> --rju LOT LINE ADJUSTMENT(LA) j,4&",1f6A <br /> COMPLETE&SUBMIT BY: <br /> Assigned to: EE0009649 ESTRADA <br /> SITE ADDRESS: 10201 E LIVE OAK RD, STOCKTON APN : 06310019& <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 /> cLo 2— <br /> SUPERVISOR I LEAD SENIOR Approval: Date: <br /> A Proofread Re oet <br /> OA!1 Check OffLfst.. :_; Correot3 AND 1751.# <br /> Correct CONDITTC[ 0- egged in LUSE Book? <br /> EH 06 06 Report#7201 <br /> October 06,2005 <br />