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NOTE: PULL ALL j w9MITB (Septic, Well, etc.) MAKE o...P1ES FOR FILE <br /> LAND USE REPORT RECORD tD: SU0006262 <br /> DATE RECEIVED by EHD: September 19,2006 APPL#: PA-0600499 <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, October 3, 2006 Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 11076 N HWY 99 , LODI APN : 05926059 <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 /> - D'✓Si7tTit�7cer�' �f�2D�LC a 9�?nlG��, <br /> ` est <br /> J<4'le Cal . .9C" [Y ��C�6L ilx.2 it <br /> 73,��sfi�an�rl : .4�rnrriY22eaiz� Sr�c�s�s7���drie� �efZ���-�s�.�a <br /> dG� n/'riJcE'aw- <br /> I recommend: Approval 121/ Denial El Continuance El Inspector: <br /> / <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: Ev�s-h .� wa '� �"`�- "' ° ' ti E. ' 'r <br /> S�f w St2cd .�_ S t+j/f.t¢aLS W (C ioe- <br /> a S.r G[ i.�CG� �✓ r f - US a"es'r <br /> I-eoct 1 e rd <br /> U� <br /> ltacl- -4-e l Shalt n-o-l' /rt dkIVeover �1J�. ler el avt l o. <br /> uud as a 34pn w e �eo . 10/10- -A) -4 d/ occ4 a . LTq 6 K, 1 a .Vv"F'e <br /> It c(^ -�rald a•'ew w,ll In, 6nrncadi.d 49 . .ee{ ��0�wcklrr Cl( <br /> at'01 -lie rf y c 'r d (00�0 dCPst4,.e.d <br /> C%Q(&ca. � e2 .^L e- <br /> If <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> EH 06 06 Report#7201 September 19,2006 <br />