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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012147 <br /> DATE RECEIVED by EHD: February 14,2019 APPL#: PA-1300118 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE&SUBMIT BY: Thu, March 14, 2019 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 14647 N RAY RD, LODI µj- 6 V 0 M- APN: 05516029,41,50,&51 <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: P 0-'—L Public Sewer: R7� <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: 5 D� a pr,./*w +" <br /> I recommend: Approval ❑ Denial El Continuance ❑ Inspector: <br /> Signature <br /> SSu ervisor/Lead Senior COMMENTS: <br /> �9 �9 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A11 he k ff List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 February 19,2019 <br />