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a <br /> NOTE: PULL ALL._RMITS (Septic, Well, etc.) MAKE ,.-iPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008601 <br /> DATE RECEIVED by EHD: January 28,2011 APPL#: PA-1100012 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2627 <br /> USE PERMIT-MAJOR(UP) <br /> COMPLETE & SUBMIT BY: Wed, February 9, 2011 <br /> Assigned to : EE4004045 TASIOPOUL05 <br /> SITE ADDRESS: 11209 N HWY 99 , LODI APN : 05914065 <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:T Public Sewer: � <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: ✓fsZ'� ,"�0 ', <br /> .14,e <br /> I recommend: Approval Denial Continuance Inspect <br /> ignature t _ <br /> Supervisor/Lead Senior COMMENTS: fjN",JJ <br /> 04 <br /> (A) <br /> z b: _o <br /> SUPERVISOR 1 LEAD SENIOR Approval: Date: 2 �� <br /> .. ..,.. <br /> OA 11:Check Uff.Llsfs Cerrecfey <br /> '31 <br /> .v Tio <br /> XTt4p., R ' <br /> ONI? <br /> *,rra Tr" .: <br /> WW <br /> ` <br /> §> <br /> EH 06 06 Report 47201 January 31,2011 <br />