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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009039 <br /> DATE RECEIVED by EHD: January 20,2012 APPL#: PA-1200006 <br /> Referral Agency STAFF CONTACT: RAYMOND HOO PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE&SUBMIT BY: Wed, February 8, 2012 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 11171 N LOWER SACRAMENTO RD, LODI APN: 05903023 30 <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 /> • �7c CF'A/1 .Y_i�1�G1`Ic .us�rr..��-� ! �j-,�a4� iOs4 CJ3D �n <br /> " cif/5 f�LtJ4•-7�Zi/ GZAfSci��� GL.6i1�-7/Q�-"J /�.b l�c� '.C_�'Ji�-z n /ice i�� sSS.i� <br /> -fZEls�»rr�r�t7�B/s <br /> i� ) �`— /ALL C1sri�rk-a�,� �mkt/ psi R€GO�L�� ,rzl�•i✓s 4�i3t/i�l�s�i2�s'L7 <br /> !3 <br /> I recommend: Approval Denial Continuance ❑ Inspecto <br /> Suoervisar/Lead Senior COMMENTS: Signature <br /> r " Zv <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Check OH List: Proofread Report? Correct LAND USE 4 <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 January 24,2012 <br />