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NOTE: PULL ALL. ,RMITS (Septic, Well, etc.) MAKE .DIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006798 <br /> DATE RECEIVED by EHD: October 23,2007 APPL#: PA-0700440 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2631 <br /> SITE APPROVAL-MINOR(SA r <br /> COMPLETE & SUBMIT BY: Tue, November 6, 2007 <br /> Assigned to : EE0005944 ESCOTTo <br /> SITE ADDRESS: 9084 E HARNEY LN, LODI APN : 06308001 <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 /> /L�rm� <br /> si.�Y6-r1�-e��,yge,� fY eonaY.vcYJ 3��/1��YJS :.4R�sA'�7��L1<is�.rt.[eaBct.�a2�J te.Y.�`/c�Y�'d� <br /> recommen : pg a Denial Li MOW witct Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> V <br /> G <br /> '555 Aayly fL A v <br /> SUPERVISOR / LEAD SENIOR Approval: .Y Dale: ' <br /> OA I/Ch, Proofread Report? Correct LAND USE i7 9 - <br /> Correct CON DiTION(S)? Logged in LAND USE Book? <br /> LI I Oh iib Report d7Nll <br />