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v NOTE: PULL ALL-.-cRMITS (Septic, Well, etc.) MAKEtt�OP1ES FOR FILE <br />* LAND USE REPORT RECORD ID: SU0008855 <br /> DATE RECEIVED by EHD: August 05,2011 APPL#: PA-1100012 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2656 <br /> REVISIONS TO ACTIONS-(RA) <br /> COMPLETE& SUBMIT BY: Fri, August 19, 2011 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 11209 N HWY 99 , LODI APN : 05914065 <br /> [n 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 /> 1 recommend: Approval12rDenial Continuance Inspecto <br /> Signature <br /> Supervisor/Lead_Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: .Z <br /> �;OA.II Chet k.Off:Lrsf..3,.. n ,;.,,: : .M, . ., °¢E g ¢' rtrreciANUE <br /> et..r ?"`+_ .s¢;e 3 :®'.;: !`'.'.,.z�" �, 's :. F Er_-�.c�I¢ da..s. .w�'tWa- .a£-44a+�" � NMI <br /> �i T— ryw:.31 ,url 1-2 t ,� ¢$ { i. 3 � dA $ ` i <br /> .. . _. ... _ ..,_ .. _.�- ...... . [,...._. ..fit.,.: �,...p� ... .:, ,.a...3..,. �- •_ <br /> EH 06 06 Report 1!720[ <br /> August 11,2011 <br />