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NOTE: PULL ALI IRMITS (Septic, Well, etc.) MAKE_ )PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007492 <br /> DATE RECEIVED by EHD: November 26,2008 APPL#: PA-0800354 <br /> Referral Agency STAFF CONTACT: PATRICK CROSBY PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, December 16, 2008 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 10940 E HARNEY LN, LODI APN : 06318002 <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 nR <br /> 04 <br /> 11:11 NOTE: (206:02) SSCR Report dated January 10, 2008 /lam 6r f�F� .Y <br /> 11:06 NOTE: (206:03) SSR Report dated December 20, 2007: Recordation of Parcel <br /> Map <br /> 11:10 Delete "proposed" add existing <br /> 22:02 Recordation of Parcel Map <br /> 11:03 (a) <br /> NOTE:(202:01) Add after"exisiting leach lines"for septic system installed under permit <br /> 71-819. Delete "and #2 property lines", add designated remainder. <br /> 22:01 <br /> 200:02 <br /> stnature <br /> Supenisor'Lead Senior COMMENTS: <br /> til!PFRVISOR/ LEAD SENIOR Approval: , Date: Z <br /> UA II Check Off List' Proofread Rej orV! Correct LAND USE# '? <br /> Correct CONDITIONS)7__ Logged in LAND USE Book? <br />