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NOTE: PULL ALO -ERMITS (Septic, Well, etc.) MAKE C%AES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008708 <br /> DATE RECEIVED by EHD: April 11,2011 APPL#: PA-1100053 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE &SUBMIT BY: Tue, May 3, 2071 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 18375 N RAY RD, LODI APN : 01116040 <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 /> R �•' : ZCt7'02 / '� � <br /> [ recommend: Approval Denial Continuance Inspecto <br /> Signature <br /> Suvervisor/-Lead Senior COMMENTS: <br /> �G4-0 <br /> l 1 [9 r�irCPJW i, ► Qcvt(7 IrX <br /> 2Z.;Q 2 Ic <br /> `lLKo3 � <br /> 7-X 07 <br /> SUPERVISOR/LEAD SENIOR Approval: _ Date; J O <br /> C,, rAr1fCZa¢ i`t i <br /> OA if€Ch Gk Of�'LIS't. ' P6[l ,N -DIR #€9 r 9?r`; <br /> IN-- <br /> F,k °z — <br /> :: lv' l - <br /> NI}(I lN( -.:— ; � l <br /> . ;3 . <br /> ....... .. .. 3. e,Y,p •e...... <br /> EH 06 06 Report#7201 April l2,2011 <br />