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' NOTE: PULL ALL MITS (Septic, Well, etc.) MAKE %,JPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004631 <br /> DATE RECEIVED by EHD: September 14,2004 APPL#: PA-04-489 <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Wed, September 29, 2004 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 5477 E WATERLOO RD, STOCKTON APN : 08710027 <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 /> '��'a1<<s��lZ.] (��/1�8� c�JcR� o✓�i���42C�z•�%i,��s��Z,� <br /> c s ,r7� 4tS 644.4/ >g-e6 t <br /> I recommend: Approval51Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> J ��y <br /> �yy :al <br /> SUPERVISOR/LEAD SENIOR Approval: Dater <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 Page 3 September 14,2004 <br />