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NOTE: PULL ALLY-.--RMITS (Septic, Well, etc.) MAKE....)PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004500 <br /> DATE RECEIVED by EHD: June 01,2004 APPL#: PA-04-289' <br /> Referral Agency STAFF CONTACT: JENNIFER JOLLEY PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, June 15, 2004 Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 5760 S VAN ALLEN RD, STOCKTON APN : 18335009 <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 /> C�/�i��-`1�%�•✓S�Sa� �+'✓C�/�'/�= �/L�� (�lc,����2C �-�"�-��?�.C.(�CrJ��s ��3-i� ria/ <br /> G6 <br /> RP7A4-7tEz) /ateC i-cJ�c�n E <br /> I recommend: Approval M, Denial ❑ Continuance lnspector <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> c4 <br /> � . 66d'Lc� <br /> : 0 <br /> �— �a •o / <br /> SUPERVISOR/LEAD SENIOR Approval: - Date: <br /> OA 11 Check Off List: Proofread Report? !/ Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Pa2c> June 01,2004 <br />