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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012249 <br /> DATE RECEIVED by ERD: May 28,2019 APPL#: PA-1900055 <br /> Referral Agency STAFF CONTACT FRANK GIRARDI PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE&SUBMIT BY: Thu, June 13, 2019 <br /> Assigned to : EE0009833 KAUR <br /> SITE ADDRESS: 11757 N DAVIS RD, LODI I 1 3 APN C05522016 <br /> In completing the Land Use investigation, draw all P blic 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.... / _ .PJA <br /> Public Water: ��- Public Sewer: (V , <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: T1 5wA S O(a rPP <br /> A/ L � S c�a 3 <br /> a o No viTcUQ, a Cutv, r <br /> I\' '�. � AN. 11 Ali <br /> �►+, ll ; <br /> I recommend: Approval Iq Denial Continuance Inspector: <br /> gnature <br /> Sunervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA k Off List• Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 29,2019 <br />