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NOTE: PULL ALL`rERMITS (Septic, Well, etc.) MAKE"u-OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005991 <br /> DATE-RECEIVED by EHD: April 11,2006 APPL#: PA-0600198 <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE : 2690 <br /> COMPLETE&SUBMIT BY: <br /> LOT LINE ADJUSTMENT(LA) <br /> _ <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 20325 E HARNEY LN,LODI APN : 05318004 <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 /> ` <br /> I recommend: Approval © Denial El Continuance El Inspector: <br /> � <br /> Supervisor/Lead Senior COMMENTS: Signature <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> «OAI�T�Jheckar t w r: ;�raofread n w •r, <br /> y,-'�k M ,' <br /> ' ^a•'^s ;u "''C�.t: daw ...S.vO (�. LIY17�� ^a'a�ri." A.'• `" ^" F �G S - :v'=�. ' y <br /> EH 06 06 Report#7201 <br /> April 12,2006 <br />