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NOTE: PULL ALLVERMITS (Septic, Well, etc.) MAKE O PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008579 <br /> DATE RECEIVED by EHD: January 07,2011 APPL#: PA-1000298 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE &SUBMIT BY: <br /> """PY. Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 12012 E HARNEY LN,LODI APN: 06324022 <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: Z�Q- li,6 � <br /> '1��/1�4��i�.✓I�2-�-yy�.c�-is�.���.rs�r.:�6�c�->F��� -� <br /> C recommend: Approval Denial Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> �)A ilCJseck Off L`I1;AMg61 1€ Cotiect `USE <br /> ; r 4k«3?c.agt ''€a"- e 0.g �''QS'L''� U.t'eC�V�N✓1:7'IQN{5 `. -.. 3.8..'95,�,. ., .... ..,. <. G•i <br /> EH 06 06 Report 87201 January 10,2011 <br />