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NOTE: PULL AL[ ERMITS (Septic, Well, etc.) MAKE.y_r/PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008624 <br /> DATE RECEIVED by EHD: February 14,2011 APPL#: PA-1100020 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2690 <br /> COMPLETE & SUBMIT BY: P-BY.1 <br /> LOT LINE ADJUSTMENT(LA) <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDREss: 5015 E LIVE OAK RD, LODI APN: 06109022 <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 /> — lomat) 1 <br /> �� ' f Cel CnG JS <br /> C recommend: Approval Denial Continuance Inspecto <br /> Supervisor/Lead Senior COMMENTS: Signature <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date �} <br /> �C7AI C ck`offl_7st � tao act eMft <br /> jSFlTt�i,' �&`� ' , <br /> y� -- .�. meet <br /> �.f firod8r» Ta- eps" .. 17CCt- �, �IT,ILV, - :'�s: �.a.„.y.,= ' :; y, :r f <br /> _., <br /> EH 06 06 Report 47201 <br /> February 14,2011 <br />