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NOTE: PULL ALL P»MITS (Septic, Well, etc.) MAKE C%�,4ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005886 <br /> DATE RECEIVED by EHD: January 17,2006 APPL#: PA-0500840 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Wed, January 25, 2006 <br /> Assigned to : EE0004045 TASIOEOULOS <br /> SITE ADDRESS: 2900 E LOOMIS RD, STOCKTON APN : 17910004,05' <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: e I I k//nn+,c fAlAe, Public Sewer: <br /> Name of P eyor Narhe of System <br /> SUMMARY OR COMMENTS: � G c✓� I/a 3/D6 . <br /> I .o1 n (� m46 <br /> rev er >\ckr wtnn4 � �` ErCkA&WC . <br /> d/D4 <br /> V U1�d��Cf� WIMr \ DfatCA 6✓� � I �. 17/ //��d5.. <br /> rin <br /> sy -2x,r�J/oS,� <br /> FDS\ tinea \epnf Lam. A-a .rC^A:Lj 41�'dk A" arm v,A �^�tyo�•.e A afro, <br /> rl � r ��• <br /> I recommend: Approval Denial ❑ Continuance Inspect <br /> S nature <br /> Supervisor/Lead Senior COMMENTS: <br /> ,I/YI C,J� rJ2 <br /> s 6 <br /> C 22 D J1� rrt dh�u� ouei� S�yec� <br /> SUPERVISOR/LEAD SENIOR Approval• Date: O <br /> irl <br /> \6 06 Report#7201 January 18,2006 <br />