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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500007225 <br /> DATE RECEIVED by EHD: June 11,2008 APPL#: PA-0600499 <br /> Referral Agency STAFF CONTACT: PATRICK CROSBY PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, July 8, 2008 <br /> Assigned to : EE0009649 ESTAADA <br /> SITE ADDRESS: 11076 N SR 99 E FRONTAGE RD, 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 /> I recommend: Approval F Denial F-1 Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> LAO <br /> le' 20 0 CO <br /> SUPERVISOR: ENIORAppr. ,l: l _ Date: _ <br /> OAT Check Otf, - Proofs rl Kclu.i? 1 u „ct LAAND k jSE <br /> CoNDiI 10N(S) .' 1.4ND us],Book �) <br /> :H 0606 Report 47201 June I I,200ft <br />