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- NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009565 <br /> DATE RECEIVED by EHD: March 08,2013 APPL#: PA-0900124 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2622 <br /> SUBDI V ISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, April 2, 2013 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 10549 N JACK TONE RD, LODI APN : 06321022 23 <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: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: `iF <br /> �.fzro is sl ids/> /c c (/z n�� d 1 �<Jsz� 9 srz` stisz�i <br /> s!rr� ¢ -f1 �. /�� � a- <br /> S�'��z sv�r n .95 &'U& oy'-ze7,64t�a <br /> nBf>7Cn/.SI—�Q,L�c�L\� llfc`�•R1.�,�t34��7���dJe.3'L1n/Crs il��+./ �a�s .— e] / � <br /> 1 recommend: Approval Denial 0 Continuance ❑ Inspecto . <br /> Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> /4) 4q�64,L17 /-s -AD 5��t 7 iu/,M/Lr►t Jviin � atm �i °i�c� 1�TI61 Ssc tl <br /> t5DD�7sa��n�, s�/2�/os. <br /> i/.oma <br /> C eh <br /> n, lb 6,h 12 s-- <br /> SUPERVISOR I L AD SENIO Approval: Date: <br /> NOWIT <br /> .. V" Q *" a NO— . <br /> ..� .. . ...: 2, ,.. .. <br /> EH 06 06 Report 47201 March 08,20 F <br />