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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011813 <br /> DATE RECEIVED by EHD: June 08,2018 APPL#: PA-1600128 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2631 <br /> SITE APPR VAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: Fri, June 15, 2018 ftV(S <br /> ej <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: INay.z- Public Sewer: <br /> Name of Purveyor � Z Name of System <br /> SUMMARY OR COMMENTS: li i ✓C Jer N �� �►,�� C J <br /> 4F ? s yu.r <br /> (J �i Z l$ �DY1�' �� �'O �{�o� hU-5 �� re.-�nD� c-� S `'�� - Cns,-►�i►�vt�� <br /> i 3 d in i-40 v' rt i�d im vtQ Ir ��i LS i� c�� iY1 ���� f' ►,�at�� <br /> S <br /> h614- 0 tJV&r 5+A� jI/ t iUl <br /> 3�-a'5 A are <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> G . <br /> ot <br /> t <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> 1 h k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 June 11.2018 <br />