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NOTE: PULL AL ERMITS (Septic, Well, etc.) MAKE PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008033 <br /> DATE RECEIVED by EHD: December 18,2009 APPL#: PA-0900298 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Tue, December 22, 2009 <br /> Assigned to: EE0004045 TASIOPOUL05 <br /> SITE ADDRESS: 10020 S ROBERTS RD, STOCKTON APN : 19112008 <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 hoyse, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> /'SUMMARY OR COMMENTS: r <br /> ?T v <br /> ' tj <br /> s� <br /> .► 4411 P • 41 <br /> [ recommend: Approval Denial Continuance Inspec <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SW fda <br /> SUPERVISOR/LEAD SENIOR Approval: Date: C <br /> "0411 Cheek Off L�sL �E.I'rgoflead 2eport?%�.. « mor rest ANIS USE# <br /> r } Correct (?NIIT(Oi�3S}'� r � . ,,3E"� r Lugged�u SND SSE hook <br /> EH 06 06 Report 47201 December 18,2009 <br />