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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0002287 <br /> DATE RECEIVED by EHD: February 22,2005 APPL#: UP-95-9(RA2) <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES PE : 2655 <br /> REVISIONS TO ACTIONS(RA) <br /> COMPLETE&SUBMIT BY: Wed, March 2, 2005 <br /> Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 11171 N LOWER SACRAMENTO RD, LODI APN: 05903023 <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 /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: /v u,J <br /> OA 11 Check OH List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 1 February 24,2005 <br />