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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009256 <br /> DATE RECEIVED by EHD: June 29,2012 APPL#: PA-1200117 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2690 <br /> COMPLETE&SUBMIT BY: ARARRY" LOT LINE ADJUSTMENT(LA) <br /> �■ 1�.+ Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 29505 E HARNEY LN, LODI APN : 06721003 06726002 08 <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 /> ' �fi�.Si.�c���/q' t�fd�'7�✓i� ��L��iuc l�bca <br /> I recommend: Approval DenialEl <br /> Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA It Check Off List: Proorread Report? Correct LAND USE 4 <br /> Correct CONDITION(S)? Logged in LAND USE Hook'9 <br /> is on Repon.r73UI <br /> July 02,201. <br />