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MiTS (Septic,Well, etc.) MAKE FOR FILE <br /> NOTE: PULL ALL_f ,�t <br /> LAND USE REPORT RECORD ID: SU0008957 <br /> DATE RECEIVED by EHD: November 07,2011 APPL#: PA-1100207 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, December 6, 2011 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 6880 E NAVONE RD,STOCKTON APN : 10112031 <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 d' stiefretc.... <br /> Public Water. Public Sewer: <br /> Name of Purveyor Name of System <br /> j SUMMARY OR COMMENTS: I y ✓ e� <br /> l � <br /> v <br /> r s <br /> I recommend: Approval Denial ContinuanceEl <br /> Inspector: <br /> Su ervisor/Lead Senior COMMENTS: _ <br /> I Avg <br /> Aj Oyu <br /> V 61 <br /> I <br /> SUPERVISOR/LEAD SENIOR Approval: ate:1 Li ` <br /> EH 06 06 Report#7201 <br /> `` November 07,2011 <br />