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T <br /> :NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009318 <br /> DATE RECEIVED by EHD: August 13,2012 APPL#: PA-1200152 <br /> Referral Agency STAFF CONTACT: CORINNE E KING PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMITBY: Tue, September 4, 2012 <br /> Assigned to: EFA005944 ESCOTTO <br /> SITE ADDRESS: 18930 E KETTLEMAN LN,LODI APN : 05315018 <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: _ A/4't::7 .yaAgr . a)E,7 6) J/J./iil��ZtT ?2 Ti Ct�'ZLl�'72mrlS <br /> 7.vf JyG.t/rzl� Tki�a�i;l l�,2 c�xl��Y/.�1E�it✓��C�z� ��7.t r��i�13�r /�SaZrz �cc�J <br /> s�izcyc�/Gr -1 t/�-32fc�✓siszc� ozr� rt�JE�c G�/7t�zEGy c: /S� c <br /> l 27 Ts�R,ti�j�✓kk," r 4 Sso� lsa� iGs� aI /Z a� <br /> LIAb7e : :cTL dj ZZZ)2�- - 2-.o/ <br /> [ recommend: Approval 1 Denial Continuance F inspect <br /> o <br /> Signature <br /> S�ervisor/Lead Senior COMMENTS: <br /> 71�1 <br /> Fi <br /> ' C) OS - � <br /> a 4 u.>» --A OV <br /> GM�a yy t.n,et ih1M �ei0 r>U <br /> I \ = nU pN , <br /> 0 2 I <br /> U <br /> �. 0 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: — <br /> OA ll Check Off List: Proofread Report? - Correct LAND USE.#? <br /> Correct CON D ITION(S)? fogged in LAND USE BooV <br /> cH Ob 06 Report#7201 August 13,2012 <br />