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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009451 <br /> DATE RECEIVED by ERD: December 21,2012 APPL#: PA-1200248 <br /> Referral Agency STAFF CONTACT: RICKS.RIFFIN PE : 2690 <br /> � LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: AZ)Afd-dt!� <br /> Assigned to: EE0004045 TASIOPODLOS <br /> SITE ADDRESS: 8441 E SCHMIEDT RD,LODI APN: 05102002 03 <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 popula�iolh— <br /> density, location of house, wind direction, etc.... J <br /> Public Water: � Public Sewer: <br /> Name of eyor Name of System <br /> SUMMARY OR COMMENTS: <br /> -,7 ,4 <br /> 1 recommend: Approval ❑� Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> /2 /1 5'7 <br /> SUPERVISOR/LEAD SENIOR Approval: ` Date: <br /> r <br /> OA 11 Check Off List: Proofread.Report? " Correct LAND USE 4? <br /> Correct CONDI'rION(S)? Logged in,LAND USE Book? <br /> JI106 uG 12cpon ',ul <br /> December 21,201.- <br />