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S <br /> NOTE: PULL ALL i% . ITS (Septic, Well, etc.) MAKE %.,�P1ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004531 <br /> DATE RECEIVED by ERD: June 30,2004 APPL#: PA-03-52 <br /> Referral Agency STAFF CONTACT: JENNIFER JOLLEY PE : 2656 <br /> REVISIONS TO ACTIONS-STAFF <br /> COMPLETE&SUBMIT BY: Tue, July 20, 2004 Assigned to :RF&4Ml%rPB(9Rj3ES <br /> SITE ADDRESS: 4310 S ST RT 99 , STOCKTON APN : 17917235 <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 /> VKP Id <br /> ✓GLd // p <br /> 0 <br /> r <br /> S <br /> U <br /> SL PER\ISOR/LEAD SENIOR Approval: ^t �' Date: / <br /> OA li Check OK List: Proofread Report? '�'_ T Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 7 July 07,2004 <br />