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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011740 <br /> DATE RECEIVED by EHD: Apri105,2018 APPL#: PA-0900094 <br /> Referral Agency STAFF CONTACT. GIUSEPPE SANFILIPPO PE : 2656 <br /> REVISIONS 0ACTIONS (RA) <br /> COMPLETE&SUBMIT BY: Mon, April 9, 2078 Ojvue <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: oe z If <br /> aS re 1/t'o vt S <br /> Q <br /> I recommend: Approval ITDenial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: - <br /> Sl1PE12VISOR / LEAD SENIOR.Approval: Data <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 April 05,2018 <br />