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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009247 <br /> DATE RECEIVED by EHD: June 22,2012 APPL#: PA-0800182 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE&SUBMIT BY: Wed, July 11, 2012 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 17048 N LOCUST TREE RD, LODI APN: 05112036 62 <br /> [n 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 /> — .t�3�Y/1� 47z-.p/< <br /> Zl) 142- Tak it 11,�}7ti�L, r p,��rnA�rb//i1.f/f15 Zr?J/� Tf/EI�c � <br /> uz-y 27 <br /> I recommend: Approval [a Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: q <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: 7h�-Ilz- <br /> OA 11 Check Off List: proof cad Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Boob' <br /> EH 06 06 Report#7201 June 22,2012 <br />