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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> RECORD ID: SU0009509 <br /> LAND USE REPORT <br /> DATE RECEIVED by EHD: February 05,2013 APPL#: PA-1300013 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, February 19, 2013 Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 1100 E HARNEY LN, LODI APN : 05807015 16 <br /> [n 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 /> Jensity, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: "/L` tEl/ lw�' �J leg /[CZE-Z /-z /aL C3jI-Z zA 4- V/75 <br /> Tf�.S�jE l37c.� � T.rJ 7ZES1�r�xiS �'-YCH-(�i/Tip�4�'ZiG•_��1�� fFL4'l�E C-A�`IGcL_ <br /> 5 - Pi/I�Zi <br /> e4 77414 &lk-J , <br /> 7Tjc [®p7YYrM.%G�ZLI+ �!?�8�i !O G`—. IfJC IC7J/iU7Flf' T,(dL'f"C- 7ztz <br /> q2 ZWe2 Lzt, .+Y S l <br /> [ recommend: Approval © Denial Continuance ElInspecto . <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> r; u -t r I orr tl"'USE x,—W�-- <br /> r ap1$113 [ ga <br /> F,H 06 06 Report 97201 February 05,201: <br />