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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009163 <br /> DATE RECEIVED by EHD: April 16,2012 APPL#: PA-1200056 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 5940 E KETTLEMAN LN,LODI APN: 06103040 44 61 64 <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: ,/t6 IZr72raJ: OA4E N 414*. <br /> : ("7-AeI120 <br /> ' ��z �/GOi�.�s�4�f�✓L//1�2r-f�-iC l�.V�Y.'aZIJS �zf2ls�F42tS <br /> � L fG7 ��rla@J /l��ht a C�I14(oE 1^3371G3£�Cryn rF/Y3�9E�7CCeAgJ, <br /> 'n,(��D--/Lf3LGL L1� /��SZZEISSGlC3 Cs�c'Q X"r7L✓LC�"79.�OL��� <br /> ,4) G�2�e--�Aocs ,r e cl- Ilj ;-70 s 'Grow l�lfis c-.tea <br /> j <br /> I recommend: Approval Denial Continuance F Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> st PI RV ISOR/LEAD SENIOR Approval: Date: <br /> OA H Check Off List Proofread Report? Correct LAND USE"- <br /> Correct CONDITION(S)? Logged in LAND USE Rook'? <br /> EH 06 06 Report#7201 n pn 17,'o I <br />