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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010905 <br /> DATE RECEIVED by EHD: May 06,2016 APPL#: PA-1600105 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Wed, June 1, 2016 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 11484 E HARNEY LN, LODI APN : 06318009 <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: '4GG = a 61 <br /> (s/w <br /> ' �/�.5'li� �,yi�=s .4-11r..Zi � l7J��✓Lb7St7J.cc)�U.� � /�.�od�l t!J/i�/A �c <br /> A GG�� Iii' Vy. / 4G 5T IK B[f1� StlYl�ts BL lL ��6 �/h /✓�L7cZ] <br /> /4�s�' �sl�/n9r71�11�5/C1eZf/�fa4'1E C5 /h�l�l�!!z/�irt4E77/�a�.JGf,+�!! <br /> • .cb oz- • � c�co.�' u <br /> fO:OA <br /> I recommend: Approval y Denial 0 Continuance E] Inspect r. <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 3) V : '21 5 0s3GJ260)3: tl�t 4�µu4c� v 44 .,,4 <br /> G tL'.o ) < u ✓/- OC14.5 <br /> Cu.o (),.✓,( �,%� q� w� <br /> � 1. i't�j sa•) ' <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: > �c/ <br /> OA II Check Off List: Proofread Report'? orrect LAND USF.#? <br /> Correct CONDITION(S)? TM }SND USE Book? <br /> EH 06 06 Report#7201 May 06,2016 <br />