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NOTE: PULL AL ERMITS (Septic, Well, etc.) MAK ,OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00007518 <br /> DATE RECEIVED by EHD: December 19,2008 APPL#: PA-0800250 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE&SUBMIT BY: Wed, December 31, 2008 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 3501 N WISCONSIN AVE, STOCKTON APN : 10910040 <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 /> 0K <br /> I recommend: Approval Denial ❑ Continuance El Inspector: <br /> t9nature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: ate: /213-b <br /> A R heck Qin !Iat <br /> zw <br /> r�Tt <br /> EH 06 06 Report 47201 December 22,2008 <br />