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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011642 <br /> DATE RECEIVED by EHD: January 26,2018 APPL 4: PA-1600128 <br /> Referral Agency STAFF CONTACT: ALISA GOULART PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, February 7, 2018 <br /> Assigned to: EE0009488 WONG <br /> SITE ADDRESS: 16123 N LOCUST TREE RD, LODI APN: 05113069 <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: Ah.9 e Public Sewer: No,,4 <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> r3illi Stsa ire, s>Pf � <br /> J{�v.zt SepXb, <br /> +� t r�3. f: D/aser / cstGlov. s/Jt[ vk1 i?Sva l ��Ui/zd�dl <br /> L�rnmd��Ga.�o�r>ai v�S <br /> G� //'0 7 <br /> �'z rez <br /> I recommend: Approval Denial F Continuance F Inspector: /V/Fsc E� JCI Ff <br /> Signature <br /> Supervisor/Lead Senior OMMENT • <br /> Z— �Z� <br /> SUPERVISOR/LEAD SENIORAppro al: Date: <br /> OA 11 Check Off List: Proofread Report?---,,/ Correct LAND USE# <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 January 26,2018 <br />