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r , <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011740 <br /> DATE RECEIVED by EHD: April 05,2018 APPL#: PA-0900094 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2656 <br /> REVISIONS YO ACTIONS (RA) <br /> COMPLETE&SUBMIT BY: Mon, April 9, 2018 (L �t`sQ <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 18921 N ATKINS RD, LODI APN : 01914040 <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 /> c� <br /> I recommend: Approval �" Denial F-1 Continuance Inspector: <br /> j Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 4 <br /> /b <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A II h ck Off List: Proofread Report? Correct LAND USE#'? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 April 05,2018 <br />