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NOTE: PULL ALLti,,RMITS (Septic, Well, etc.) MAKE PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005200 <br /> DATE RECEIVED by EHD: July 15,2005 APPL#: PA-0400616 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2666 <br /> REZONING 5+acres(ZR) <br /> COMPLETE & SUBMIT BY: Wed, July 27, 2005 <br /> Assigned to : EE0000321 OLIVEII2A <br /> SITE ADDRESS: 13475 N JACK TONE RD, LODI APN : 06326004 <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 /> 1 recommend: Approval F-1 Denial El Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 6 <br /> OF <br /> &v1'/ &A405,/A'to4--A%4' &429lGfs2. xo"4 W/zit <br /> r <br /> 01,1111111 <br /> r <br /> 3- APIX <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA It Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE .ook? <br /> Pri` v !tom �/ r/ /V* /i, /�`/SPPax/ !.1 <br /> 11106 06 Report 47201 July I8,2005 <br />