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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010863 <br /> DATE RECEIVED by EHD: April 18,2016 APPL#: PA-1600079 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2690 <br /> • ^�� w` , LOT LINE ADJUSTMENT(LA�)' <br /> J/[d�C�14�!` &LFL.�q/��!/1�1T BY: Fri, April 22, 2016 <br /> � Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 6300 E HOGAN LN, LODI APN : 06114054 <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: ��lf (3JCa��lC 6 Z. c) 61 za. zAyi`�� <br /> A)4 .4,-L'103 — et <br /> /g"St� �3t�-'si 7rf�/h4 tetras c 7 / tca�t7l�y�Ifv_mss C�6�ic y�ta< <br /> j <br /> ZZ- Z est) &fR AZ) <22,DIi'1�r<_ A5 An,-l� av'ibis �9xref�� <br /> I recommend: ApprovalERr Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> D� <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Cheek Off List: Proofread Report? Correct LAND USE 4? <br /> CorrectCONDITION(S)? Logged in LAND USE Book? <br /> EN 06 06 Report 47201 April 19,2016 <br />