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w <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LANG USE REPORT RECORD ID: SU0004729 <br /> DATE RECEIVED by EHD: November 30,2004 APPL#: PA-02-641 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: Tue, December 21, 2004 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 2662 N WILSON WY, STOCKTON APN : 11706033 <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 /> /rl/1 i- <br /> I recommend: Approval ❑ Denial 1-1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 412A02. <br /> dt, <br /> jig I? <br /> C, <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> 11106 06 Report#7201 � Page I December 13.2004 <br /> l <br /> lu <br />