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NOTE: PULL Are JERMITS (Septic, Well, etc.) MAKL OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500008892 <br /> DATE RECEIVED by EHD: September 08, 2011 APPL#: PA-1100160 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE& SUBMIT BY: Wed, September 28, 2011 <br /> Assigned to: EE0005944 ESC07"r0 <br /> SITE ADDRESS: 7889 E HARNEY LN, LODI APN : 06113328 <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: , - � 1 • i�-i�7i-f��'��� <br /> /3Ltiti< <br /> i <br /> e,611'L 13t z4, <br /> L[jej R,424c/* ' 2,W 01—ec-ti41{ Cc-A-C/_erW-x Lr�%f3n�e �t�s7r e <br /> ,2E/�!---z/s "ME zaeb e2 <br /> _,ri -X'F;'!J.j2�i"..OG�t-��'�-'Pz -l<, �'G?"a �� •.G t�c4��3 r� P._.G= 7?t-d C-RP'+� <br /> I recommend: Approval Denial 1:1 Continuance F-1 Inspector: <br /> Signature <br /> upervisor/Lead Senior COMMENTS: <br /> e3 Z'C rf <br /> 74 A / 'Ir <br /> i <br /> IDZ'. 0 I <br /> nN <br /> Z;0 <br /> tt) �2 a Lf s� <br /> 'WPERVISOR / LEAD SENIOR Approval: Date: / O 7 <br /> OA 11 Check Off List: Proo(read Report? Correct LAND USE#? <br /> Cuff cc(CONDITION(S)? Logged in LAND USE Book'? <br /> I I un❑I,Repan'1721 1 <br /> ticlnc wh;i u,l]u I I <br />