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I <br /> F- <br /> NOTE: PULL ALL EMITS (Septic, Well, etc.) MAKE C IES FOR FILE <br /> ND USE REPORT RECORD ID: SU0006396 <br /> DATE RECEIVED by EHD: January 16,2007 APPL#: PA-0600678 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, January 30, 2007 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 11492 N HWY 99 , LODI APN : 05926001 <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 /> A&�21XZJ7Tl�J�2J LlQl0 --0 <br /> �,�b3,t�c•�l"� >?c=mss^ rs rcaJ ���/�� s�r�as -�f-�.z�?r�i � � <br /> • �� v>.��d.�/�i/>�Q�u.4s/d-G4f« d���`�s-�.t�6t�7y�(r �'i�a�-=�i�r, <br /> I recommend: Approval Denial Continuance Inspector: <br /> Sign ture <br /> Supervisor/Lead Senior(;OMMENTS: <br /> L <br /> it)Z <br /> C) U3 <br /> 0 S <br /> G iS �y <br /> SUPERVISOR/LEAD SENIOR Approval: Date: Z� <br /> 'Choc Off2is{' roofread Report? Correct LAND USE#7 <br /> rtct( ()NDI"IION(S)? Logged in LAND USE;Book? - <br /> Eli Ob January 17,2007 <br />