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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00010966 <br /> DATE RECEIVED by EHD: July 01,2016 APPL#: PA-1600146 <br /> Referral Agency STAFF CONTACT: JENNIFER JOLLEY PE : 2688 <br /> SPECIAL LAND USE PROJECT(PR) <br /> COMPLETE&SUBMIT BY: Tue, July 19, 2016 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 15007 N GLASSCOCK RD, LODI APN : 02503007 <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 /> S.. r <br /> Al 6l6 - 'eahtp kofs X-V Xwyhv-s ct/7.FfL a9x/i F <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> DL <br /> SUPERVISOR/LEAD SENIOR Approval: Date: Z <br /> ` Proofread Report - Correct LAND USE#? <br /> Correct C6161TION(S)? - Logged inLAND USLB'ook? <br /> EH 06 06 Report 47201 July 08,2016 <br />