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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011462 <br /> DATE RECEIVED by EHD: August 11,2017 APPL#: PA-1300118 <br /> Referral Agency STAFF CONTACT. STEPHANIE STOWERS PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE&SUBMIT BY: Wed, August 30, 2017 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 14647 N RAY RD, LODI APN : 05516029 <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 s6/1z/ c'izECJa/Y� sc�Lt/62/ffY�.Sl�lEYJ/2�t1� 7 <br /> efd'd, TrJY)?ir <br /> �.C(?/E �1��'//�3 L152�/i✓ �4� .�d /GLI�I.� Lli �®�121tXi <br /> I recommend: Approval Denial D Continuance Inspect C <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> MA l Zd5 lPrupos <br /> hSSS NL v>t <br /> y s - <br /> r" <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A II Che k ff List, Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 14,2017 <br />