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NOTE: PULL ALL RMITS (Septic, Well, etc.) MAKE' i PIES FOR FILE <br /> LJ#ND USE REPORT <br /> ` RECORDSU0007197 <br /> DATE RECEIVED by EHD: May23,2008 ONNOE <br /> 164 <br /> Referral Agency STAFF CONTACT: PAT . <br /> RI K CROSBY <br /> ADJUSTMENT(LA) <br /> COMPLETE &SUBMIT BY: AbA <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 9532 N WEST LANE , STOCKTON APN : 12003006 07 08 <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 /> ACb- AO - <br /> I recommend: Approval Denial Continuance Inspecto <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: — o <br /> Oi411 Qheak Qfi Lust <br /> Nr Pr6ofrmd,R4. rt� ' � 6C tcct�I3 I# <br /> SE <br /> G[irrect C,ONDITION(S)? I�gged Uzi-LAN13�351y- a k?` - �. <br /> EH 06 06 Report 97201 May 23,2009 <br />