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— NOTE: PULL AI._-.PERMITS (Septic, Well, etc.) MAMMOCC'OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500005244 <br /> DATE RECEIVED by EHD: July 25,2005 APPL#: PA-0500436 Pre-Application <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES PE : 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE& SUBMIT BY: Wed, August 10, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 2978 S VISTA AVE, STOCKTON APN : 17504018 & 19 <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 /> 3ensity, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance Inspector <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> l <br /> T � l <br /> / <br /> L� <br /> o ' dS <br /> SUPERVISOR/ LEAD SENIOR Approval• Date: <br /> d-, <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 July 26,2005 <br />