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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE C-OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006470 <br /> DATE RECEIVED by EHD: March 12,2007 APPL#: PA-0700092 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 11781 N LOWER SACRAMENTO RD,LODI APN : 05902045 <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 /> L <br /> Uhl a W—s z r F < f� <br /> F <br /> I recommend: Approval Denial Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> V <br /> t <br /> f <br /> SUPERVISOR/LEAD SENIOR Approval: . <br /> lk <br /> Date: <br /> b` hick Off Lrst Prep&eadcorrect" I77 E# <br /> � . <br /> *. � *�' dfi�irrect�G-f?�VDTITO � `�� f Lt� ed ui LA� I;SE:�ak� � , <br /> EH 06 06 Report#7201 March 13,2007 <br /> 1 <br />