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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011314 <br /> DATE RECEIVED by EHD: Apri107,2017 APPL#: PA--1500111 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE & SUBMIT BY: Tue, May 2, 2017 Time 6K+Mgf o h <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 17303 N DE VRIES RD, LODI APN : 02515010 <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 /> ��LY/n9l�l.�S�'ZlG1G = <br /> it I <br /> I recommend: Approval Denial Continuance Inspect <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> p Proofread Report? Correct LAND USE# <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> Ell 06 06 Report#7201 April 14,2017 <br />