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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009003 <br /> DATE RECEIVED by EHD: December 16,2011 APPL##: PA-1100226 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE & SUBMIT BY: � � ` `° � ���� <br /> �--- -- Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 1830 W ARMSTRONG RD, LODI APN : 05522037 38 <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 of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> A <br /> 4 <br /> 1r• •�� v 1. � �� <br /> u' <br /> I recommend: Approval Denial Continuance Inspectoy: — <br /> �~ -c�"- Signature <br /> r_ <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR) LEAD SENIOR Approval: Date: l <br /> OA 11 Check Off List: Proofread..Report? Correct ANI :USE#? <br /> Correct CONDITIO 7 . . . egg d,in LA USS Book? <br /> Ell 06 06 Report#7201 December 19,201 1 <br />