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PULL A1. ERMtTS (SeptIto <br /> ic, W6'Il��etc:} MAKOPIES FOR FILE'.° :l <br /> ;€ RECORD ID: SU0004813 "" <br /> LAND USE REPORT i <br /> DATE RECEIVED by EHD: February 01,2005'1 '� APPL#: PA-05-17 <br /> Referral Agency STAFF CONTACT: `KEVIN SWANS& PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> s <br /> COMPLETT& SUBMIT BX�,Tue, February , 2005 <br /> ,• A Assigned to : EE0005944 ESCOTTO a { <br /> SITE ADDRESS: 715 WAGNER RD, STOCKTON ;, APN : 15907016 <br /> !�;k ..i ` W4Y <br /> In completing the Land Use investigation,.draw all Public Health factors an the exhibit (i.e., sewage disposal,water <br /> supplies, etc...). Where necessary, on an attached Apiece of plain paper, draw complete map of area showing populMon a <br /> density, location of house;°wind direction, etc..':' '- <br /> Public Water: ' ih Pudic Sewer: <br /> � <br /> Name of Purveyor "` Name of System - <br /> SUMMARY OR COMMENTS: ! r + 4 <br /> se <br /> .1- <br /> a�`F <br /> '.s '' <br /> I recommend: Approval Denial Continuance Inspecto <br /> i Signature <br /> Supervisor/Lead Senior COMMENTS: p <br /> 'I <br /> ZZ <br /> GO <br /> � //:B♦r CJS w: ' .� ,Ey , <br /> '*0 <br /> s <br /> IV,1 <br /> SUPERVISOR/LEAD SENIOR Approval:• �' Date:. <br /> OA 11 Check Off List: Proofread Report? Correct LANDUl #?: <br /> Correct CONDITION(S)? ' Logged in LAND USE gook? N. <br /> EH 06 06 Report#7201 ! tPage 2 ; : "" ;,R - .- f . ' yFebruary,11,2005 <br />