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NOTE: PULL ALL-PERMITS (Septic, Well, etc.) MAKE CdPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008832 <br /> DATE RECEIVED by EHD: July 21,2011 APPL#: PA-1100125 <br /> Referral Agency STAFF CONTACT: CORINNE E KING PE: 2622 <br /> SUBDIV150N-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, August 16, 2011 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 4330 W PELTIER RD,LODI APN : 01302001 <br /> In completing the Land Use investigation, draw all Public Health factors onithe 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 /> j Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: . <br /> 1 - <br /> .-EI,144.X33-,1 <br /> AM2et,leq' f3)�C'G _.(137 •'Cr��GZ� 42G/ C:g �ZZ�d <br /> } -r -- <br /> I recommend: Approval Denial ❑ Continuance Inspeeto <br /> - Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 20(l LAL ez°1 I pa i" <br /> t 0 Q <br /> SUPERVISOR/LEAD S�A�EN--IOR Approval: l Date: L <br /> Op II Check<Off:L<l -............ <br /> - a I'rdilreadlLepztExy€wx <br /> '. ... d. < v,..,q _,..�,- - .,.^ -.4.1��' 9 LY,�pr}s�Yfr�il'-�?»'7,�";•'T:.�s�R'...,..::i ar.^?YFW.�'6.br' "8F' d` F�� s�F4�t,;q#��n'trl.^6"r. ��:,;.:� ,vg_. %i#;';s ':qex 4= ? " +'SL,}.[i-'yo-{i :' f'I-'a";: <br /> " ..r <br /> Ott <br /> EH 0G 06 Report#7201 <br /> July 22,201 1 <br /> 9 <br />