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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010956 <br /> DATE RECEIVED by EHD: June 24,2016 APPL#: PA-1600066 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2625 <br /> USE PERMIT-MINOR(IJP) <br /> COMPLETE& SUBMIT BY: Wed, July 13, 2076 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 12773 N LOWER SACRAMENTO RD, LODI APN: 05805014 <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: _7�<GE (4j/ L1f.? <br /> •�.L/f��/Z� CCT/!/�S �- jlF3l �I/G •SSepi-7GY�J /.o47L �.S��GC <br /> 7f1�/Iy{cr��z�faC�iL� <br /> /T� J` fl; B�i6ix ,c5 Cac 9Cry ln,� IS7 2-0& <br /> /�C7J Gbt,��• <br /> — .T11=-C'drlYI�AIA-Z[cn.cS.' <br /> I recommend: Approval Denial ContinuanceEl <br /> Inspe <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> LO Pc Iv(w L✓� N �pla'�,L <br /> t'S, 12'•of - t.,..tbt T.y-� _ nru,,,r � (�f7 <br /> L� 11'.uS- C'wStd� uvw,n <br /> E� 9D •.o l - CoeL pla►.'S 1411:0 <br /> to v, 03 <br /> �1 (oz•. odl <br /> r�o�-.�'. Ire : 0�.•�5�� 1'�- www d1 _ , . �j,,�, <br /> `XPERV'ISOR/ LEAD SENIOR Approval: Date: -G <br /> A 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 June 27,2016 <br /> W,vwY2:04 e EilvllurlrllmTta���or <br /> tQ essepancy.-*Should the number of non-resident individuals exceed 24 for at least 60 days per <br /> year, or the number of service connections exceed four, a yearly permit to operate a public water <br /> system will be required by the Environmental Health Department (San Jo quin County <br /> Development Title, Section 9-1120.2 and 9-1115.9.). T4,-c� 4 Qt�k"A­ <br />