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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010132 <br /> DATE RECEIVED by EHD: July 08,2014 APPL#: PA-1400114 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE: 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE &SUBMIT BY: Tue, July 22, 2014 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 17451 E BRANDT RD, LODI APN: 01914036 <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: ZeEk,!� �` J: v�60`aA2,C- aC,6- 1 1 jQ• !` <br /> c2v's = risme zcc�: l V/2Z� <br /> PLYL4f / 6*de- ,i, 4-- TlE3/(�3t/mac k z7A� 4 oL- -*Lcls-ZG � L <br /> �f;r,�/�`3i�C�,..C�7� 9ZE�i � ���iSoS �i y� �.t�/�z�,� /.•� <br /> Z Z ' <br /> I recommend: Approval Denial Continuance ❑ Inspect <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> r [ ( aj II ► 1u Noh : r n"DA �1�I1`l- <br /> ( G) -22 0 L <br /> (r:=1 "Z-2 - v 1 <br /> Sl PERVISOR/LEAD SENIOR Approval: Date: ?-Y (4- <br /> OA Il Check Off List: Proofread Report) Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE,Book? <br /> EJi 06 06 Report#7201 July 10,2014 <br />