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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009301 <br /> DATE RECEIVED by EHD: August 06,2012 APPL#: PA-1200126 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Wed, August 15, 2012 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 17036 N LOCUST TREE RD,LODI APN: 05112036 62 <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: Jf r€ A)CZ1&;z) <br /> og klxE • /9/J/�) <br /> • �,/ • L�//�d62 (98/D �h1'c�/!ZJ = �itiisb..l0, ,�,n/E�ac7it76/l�NwiTs/.9-s�z�s'�.t'vl t/YM <br /> 1i -L Gdl.✓E�r�•�, Rty[ u,��7ir.4{cs, L✓i,��.�J�1zc .Bc<.�3 u ilif. -�rT,t -s c �In/ <br /> 74-tens /&5,-n Ade za/-4 iiJa7 CN o .s�( )6r-- plc[ s.lc <br /> ! 7 Mn—AA —AlUi2l N✓eKAr7H✓S 1/1- �-90, <br /> j 7 �uM !a ZsAI C <br /> /.'!3 1 e eq <br /> I recommend: Approval © Denial Continuance Inspecto <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> C PP to <br /> re 77 mil <br /> bENO 6 7&es — <br /> . 0 <br /> z7. v � <br /> SUPERVISOR/LEAD SENIOR Approval: - Date: <br /> OA 11 Check Off Li • Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 Aug st 07,2012 <br />