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NOTE: PULL ALL`- --'RMITS (Septic, Well, etc.) MAKE --PIES FOR FILE VA <br /> LAND USE REPORT RECORD ID: SU0005018 <br /> DATE RECEIVED by EHD: April 26,2005 APPL#: PA-0500222 <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES PE : 2631 <br /> SITE APPROV -MINOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, May 11, 2005 <br /> Assigned to : EE0005944 <br /> SITE ADDRESS: 2823 E MUNFO,RD AVE, STOCKTON APN: 17910014 <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: 'CUL <br /> I recommend: Approval Denial Continuance ❑ Inspector: V j z <br /> . Signature �r <br /> Supervisor/Lead Senior COMMENTS: <br /> 03 <br /> 4V 9 <br /> q00' 2tLmeZ4p <br /> SUPERVISOR I LEAD SENIOR Approval: Date: <br /> OA li Chick Clff List: Proofread Report? Correct LAND USE#? ° <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> �J t d 3 <br /> EI-1 OS 06.Report 47201 /j ; 59. — �n__ � May 09,2005 <br /> �/(�� �-r/�` <br />