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.NOTF': PULL ALL PERNMS (SEPTIC, WELL, ETC...) NMKE COPIES FOR FILE <br /> LAND USE REPORT APP#: PA-04-34 NIS a/ , <br /> END RECEIVED APP.REFERRAL: 2/3/04 COMPLETE & SUBMIT BY: 2-20-04 <br /> DATE DATE <br /> ATTN: JENNIFER JOL.L.EY <br /> SITE ADDRESS: 16710 EAST SARGENT ROAD, LODI <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw a completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: /jam Public sewage: %j1a <br /> SUMMARY OR COMMENTS: <br /> 0� <br /> ��� as • �� <br /> -;7 <br /> -Gl�1�Gc .-�{ /1�c••c«-trt �c�-, -7��..2 ��1�'• G�l��,� ���'���c»rr� ��rl�z�zr�'ca-�_ <br /> I recommend: Approval Denial Continuance Inspector's Sign urea <br /> nx�FaFxxxxx*�k�F-1ck�F�F3c�'c*�F�c9cx;Fx�k�k�ckkk�FaFaF****�Fk****�'c*xk*x�k�F�F*aF�F�F*�k*�k�F�F�c�'c�F�k�c��F�F�'c9c�F�k �'c*3c-.r****�F�eF�F�e3c <br /> Supervisor/Lead Senior Comments: <br /> lJ <br /> G F <br /> SUPERVISOaEAD SENIOR APPROVAL: <br /> EH 06 06 Rev 1/99O9 II CHECK OFF LIST: Proofread report? Correct LAND USE#? <br /> Correct CONDITiON(S)? Longe;:1 L- L) 178EBOOK_? <br />