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• A: <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005751 <br /> DATE RECEIVED by EHD: January 24,2006 APPL#: TA-0500729(REV)' <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE: 2633 <br /> SITE APPROVAL-MAJOR(SA) <br /> COMPLETE& SUBMIT BY:"FEBRUARY 01, 2006 <br /> Assigned to : EF-0004045 TASIOPOULOS <br /> SITE ADDRESS: 4028 W UNDINE RD, STOCKTON APN : 19107017 <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 P ry or Name of System <br /> SUMMARY OR COMMENTS: O6 <br /> I recommend: Approval Denial Continuance Inspector: <br /> nature <br /> Supervisor/Lead Senior COMMENTS: <br /> i 0 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> QAC OffL►st :Ce epq : NO� - <br /> ceyeOF S <br /> g <br /> EH 06 06 Report#7201 January 25,2006 <br />