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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010934 <br /> DATE RECEIVED by EHD: June 06,2016 APPL#: PA-1600124 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMAIk�E� $l}4{ Fri, June 10, 2016 <br /> '� i`VVV 11' LLI v/ Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: X11209 N HWY 99/W FRONTAGE RD,LODI APN : 05914063 <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: « Y< (�J L<R / kSZc GLL� <br /> f�7lcec Wr 77"w Rc�a t✓r'B eFr3CH'ze"';A•v 4-'52f D"7<d59-3'-�i7 s- <br /> /f/n /ltl.Ci Ot-- Lld' �a� <.55t�i-� Cf G�/C3✓-n.✓ Lt��4�itIJTt� <br /> I recommend: Approval aDenial ❑ Continuance Inspector: <br /> Signature <br /> Sunervisor/Lead Senior COMMENTS: <br /> e u.v.4mw s N` <br /> DL•r ' p � cl7:.u.�w...-S_ ��..�D nw nuru.L�2 t<-Sc s <br /> I is hPW o i g L 4066 <br /> 11 � K <br /> ill`G � P�P SrK IS <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: (o <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Rook? <br /> Id 10606 Report 47201 JunrU6.'016 <br />