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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006222 <br /> DATE RECEIVED by EHD: August 28,2006 APPL#: PA-0600465 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE: 2627 <br /> USE PERMIT-MAJOR(UP) <br /> COMPLETE&SUBMIT BY: Wed, September 13, 2006 Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 12401 N HWY 99 ,LODI APN : 05811048 <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 /> f density, location of house, wind direction, etc..,. <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> { <br /> I recommend: Approval Denial Continuance Inspect <br /> I Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> I <br /> x <br /> 1 <br /> 3 <br /> i SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OAII beckybffLsfP�oa&ea R�pQ '�- orrect ,�) tiSf1 <br /> arrest GC�DTT '? d D DSE$ook <br /> EH 06 06 Report#7201 August 28,2006 <br />