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I <br /> NOTE: PULL ALL WMITS (Septic, Well, etc.) MAKE WES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006510 <br /> DATE RECEIVED by EHD: April 10,2007 APPL#: PA-0700130 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, May 8, 2007 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 4141 N WEST LANE , STOCKTON APN : 11531022 <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 /> ifs 13/a . io�a*GiL-.y/t3 %4I-1w <br /> do ZR4,24e,� A-Z2u�-Ilam!_610 Z ws .iar«_ ',4F F—n2r97� 665; �brszd <br /> /�X/IGL/Y.L1�9�•er��sfe_rs J3c.r�. • %y5 ul�StsttTl�/.YGd7r'7�.r�Z'�-S-�.Oz��laG1Z��!?OLIGf�� <br /> «✓�Ze3 Sr�ZG�iLt�i�yfS.�O7Y1371�✓dfx/1�'!!��SPs�lL9.3SG�1 � <br /> -1 m t�� k: �►cct� g�- ¢A /'6-�6rz/r=/4r <br /> S 90: vi <br /> I recommend: Approval Denial F—] continuanceInspector: <br /> / G+*T7f5 Y�J11�77y/jctti//rt/ 2`4/�p9YJt / L�/I�77 �C Signature b <br /> Supervisor/Lead Senior COMMENTS: �� C/v7s u��r G <br /> 0 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: ^G� U <br /> OA <br /> If Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> P H 06 06 Report#7201 April 11,2007 <br />