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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009522 <br /> DATE RECEIVED by EHD: February12,2013 APPL#: PA-0900163 TE <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Thu, February 28, 2013 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 5113 W SARGENT RD,LODI APN : 02520005 <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 <br /> _O-R, �COMMENTS: <br /> ��/'M�',��=GIA✓ ' <br /> Al Com- iii,a2 ram QGZz�ASLCR-ar a 9 s eS7¢2e;DZ^/ <br /> 1 recommend: ApprovalDenial Continuance Inspecto <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> lam, <br /> 2 'ZO O <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA If Check Off List: Proofread Report?` - Correct LAND USE#? <br /> CorrectCONDITION(S).? Logged in LAND USE Book? <br /> EH 0606 Report#7201 Pcbninn 1L'uI <br />