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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012017 <br /> DATE RECEIVED by EHD: December 04,2018 APPI-1p#: PA-1800206 <br /> Referral Agency STAFF CONTAC C FRANK GH2ARDI Iia9,y- " w ; 2626 <br /> SE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Thu, December 20, 2018 / `� <br /> i-2(RkCL fro6 ort 2sP�p�f <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 706 W LUCAS RD, LODIForm��y g( (, LUCK APN : 01504067 <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.... a <br /> Public Water: �)nxqPublic Sewer: <br /> Name of Purveyorame of,S,y�ste]n <br /> SUMMARY OR COMMENTS: 4_� 'pw i L <br /> :—_ <br /> �`ss —,7,/ <br /> _ <br /> !�t �utc�i c�-1� 5 wr b ' �� L vj�e t <br /> ar "�►"l�( a-f'�� u I'VE s". <br /> _l IC o_se f-C /fq tacks well gqrvl; i- <br /> P-,2. qtr v <br /> / 34. qnVGHV. • A r-.Ta,W. PAI e S X? <br /> --o l X 30 """A h tea 0.d o '•'� , �� <br /> 5D L4,W W 17roV, /MaH wee- i5 d �r D Grams aS tE <br /> I recommen Ap roval n Denial Continuance Inspector: <br /> 741--j— Signatu <br /> Su ervisor/Lead Senior COMMENTS: ,,�r // <br /> I.I.J 1 1 {2 or %CJS/e X)� cgg4ont zs- cL�(p kO 1/ <br /> ,R1CiSf�L Sf�rdants �y l 2 C <br /> Z C <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? ��JJ <br /> Ell 06 06 Report#7201 ,.ems December 05,2018 <br /> l <br />