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NOTE: PULL ALL —.RMITS (Septic, Well, etc.) MAKE ._.PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006675 <br /> DATE RECEIVED by EHD: August 02,2007 APPL#: PA-0700363 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, August 21, 2007 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 805 N SHAW RD, STOCKTON APN : 14327047 <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 /> -,etc' ,G�c�/_it�J. .C.2��i�r7s r.•�,�� <br /> I recommend: Approval Ez Denial F-1 Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> I 2 2 <br /> SUPERVISOR/LEAD SENIOR ApproN ai: Date: <br /> Proofread Rc )rt? Correct LAND USI;d? <br /> OA!! .heck Off List: P� <br /> ( rre i COQ D1T'I(iN S <br /> ( )'. Logged in LAND IJSC I3uoA.- <br /> :H 06 06 Report#7201 August 03,2007 <br />