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NOTE: PULL ALLPERMITS (Septic, Well, etc.) MAKE duP1ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005846 <br /> DATE RECEIVED by EHD: December 27,2005 APPL#: PA-0200364 TIME. EXTENSION <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Tue, January 17, 2006 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 5480 N HWY 99 E FIR, STOCKTON APN : 08703018 <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 /> �) /Z <br /> — 1171' 2 t� 3 <br /> SIPERVISOR/LEAD SENIOR Approval: - Date: <br /> OA H Check OH List: Proofread Repo <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 97201 December 28,2005 <br />