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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011184 <br /> DATE RECEIVED by EIID: January 13,2017 APPL#: PA-1600200 <br /> Referral Agency STAFF CONTACT: ALISA GOULART PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: Tue, January 31, 2017 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 15467 E KETTLEMAN LN, LODI APN : 05308020 <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: (4E / —7 ASFU , 0 .�� I /� didS7 7Xi7r7 <br /> Tt/�.S✓l� C�.IT-�i.✓j ,cy� A>.L�i�� ��/7fl//' 7 5 ,sZ$rJ �-�/�,�/� / <br /> ' �/�€ ��flji CF Zfi� 7 t5 T�YC7v civ F3k` � l< <br /> /4) </•G� 8J 72 0 1C / a ) Ze6-'d/ El 9,2-'642f 6LV7E: 2U3 L)74- <br /> e. /a :4)/ /f) /C2: CG P <br /> I recommend: Approval Denial Continuance El Inspe <br /> Signature <br /> Sunervisor/Lead Senior COMMENTS: <br /> 124-) <br /> (;D? <br /> �2=0Z <br /> N-. <br /> S-- 0(_` <br /> '04- <br /> EV3Cal <br /> 61) 02,' D-7 <br /> WOW r <br /> Z= <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA It Check i : Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 January 13,2017 <br /> 15-3-.d <br />