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NOTE: PULL AL RMITS (Septic, Well, etc.) MAKEa.APIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008067 <br /> DATE RECEIVED by RUM January 25,2010 APPL#: PA-1000007 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: Wed, February 10, 2010 <br /> Assigned to : EE0005366 ME1)1NA <br /> SITE ADDRESS: 17266 N HILLSIDE DR, LODI APN : 05324005 <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 /> 3ensity, location of house, wind direction, etc.... <br /> Public Water: /.�—ao Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 04 <br /> 10:08 <br /> 11:07 Prior to Issuance of Building Permits <br /> 22:02 Prior to Issuance of Building Permits <br /> 11:05 Delete parishoners <br /> 11:03 (a) Prior to Final Occupancy <br /> 22:04 Delete first sentence, start with Should the number..... <br /> 203:02 <br /> 102:01 <br /> 102:03 <br /> 102:04 <br /> I recommend: ApprovalO.y Denial Continuance Inspecto <br /> igpe-rvisor/Lead Senior COMMENTS: f Signature <br /> Zp S .� <br /> F 27 . 0 c <br /> C t 0 z . - ---- _. <br /> iUPERVISOR/LEAD SENIOR Approval: Date: <br /> e <br /> `OA l!Check Off bit: Proofread Report? Correct LAND VS>�#� <br /> a <br /> I9 Correct CNDITI(? 1(S),2 Logged in i A1),>U1 1301ak7 <br /> 3H 06 06 Report#7201 January 25,2010 <br />