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NOTE: PULL ALL . . MITS (Septic, Well, etc.) MAKE MIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005671 <br /> DATE RECEIVED by EHD: October 05,2005 APPL#: PA-0500655 <br /> Referral Agency STAFF CONTACT: CEALY LEIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, October 18, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 2303 N WEST LN, STOCKTON APN : 11709027 <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 /> 7i`l& 0°Ic"-C:bq iit/�✓��/. ez✓zLJ�??x,-9 <br /> I recommend: Approval Denial Continuance El Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> � 22 07 <br /> SUPERVISOR/LEAD SENIOR Approval: J / Date: / 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 October 06,2005 <br />