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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009372 <br /> DATE RECEIVED by EHD: October 05,2012 APPL#: PA-1200192 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE& SUBMIT BY: Wed, October 31, 2012 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 23627 N DE VRIES RD, LODI APN : 00304003 <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: FZLL 12L !/% / : TE-✓Lc€gLL rs 7 z-, ,6z-R7,t Qy7/7S <br /> /. .7N 11 .5?�?iG SYS7c37, :� T.�'f'�7n,o T2eti,7 tlijit -4,..Y-�7to Sf�57F�'✓I CS%1r»4�ro1 -✓f <br /> " l/� /�i2i3'Cb[?J/iiiit��l5i cY-�'�Zcc�<,�s _/•LSE C� /fit: Li+C�7c�7 i-✓ �'yi.✓�S�/.iJ.�'�'Lr�`I <br /> A) f/',!9 /y 72—. ,:9 e ) /D ' Ci1 b) z/.le- C) ZZ Cl?- I-AD&`: 2c,3;e2- . F) !/ &3r,1 <br /> Ci :G'• GZ:G <br /> I recommend: Approval © Denial Continuance ❑ Inspect <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 114 <br /> R (/ �Z <br /> Uljt h <br /> C 0S XtP' <br /> 22 :17 a tr <br /> G ( 057 <br /> F 22 ' S <br /> �1 ( : 0 cl <br /> 102L 0 3 <br /> ( 02 OL <br /> SUPERVISOR/LEAD SENIOR Appro Date: ( t7 7,,'L <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE 4? <br /> Correct C:ONDITl0N(S)? Logged in LAND USE Book? <br /> Ell 06 06 Report 47201 October 05,201< <br />