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i <br /> i <br /> _ MOTE: PULL Ake,-ERMITS (Septic, Well, etc.) MAK"OPIES FOR IFiLE —� <br /> LAND USE REPORT RECORD ID: SU0006967 <br /> DATE RECEIVED by EHD: February I9,2008 APPL#: PA-0800048 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: {Ned, February 27, 2008 <br /> Assigned to.': EE0005944 ESCOTTO <br /> SITE ADDRESS: 12221 N HWY 88 , LODI APN : 06318026 <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: ���„����S ��J�a✓LL���yt�����(� Le���GaSZ�.�`��(e/fS«�.� „_„— <br /> �3�"l c_ /��Se�'l�c,�5�r� `�'a - .�✓.r/ya�t/�h��1�/.�'3s7cs�u,J��i�; 4��'Z� —fir'. <br /> Ze <br /> I recommend: Approval Denial Continuance Inspector: <br /> uperviso: ead'��1VI T f�JCe� j �s ignature <br /> 5u eryisor/Lead Senior MEN <br /> 4, <br /> SUPERVISOR/LEAD SENIOR Approval: Date: C� <br /> A1f ec 4f r# aofta�t��pottT- _- -. <br /> TWO <br /> _ t X6. <br /> eet LAN t7 � <br /> EH 06 06 Report 97201 February 19,2008 <br />