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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009810 <br /> DATE RECEIVED by EHD: November 04,2013 APPL$h PA-1300186 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Wed, November 13, 2013 <br /> Assigned to <br /> SITE ADDRESS: 9490 E SCHMIEDT RD, LODI APN : 05111004 <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: J-CLC�4 ✓5 t J' ,l/D R�70.1�5 o✓/-LCF <br /> -G�c �ttsr�zz�J: /siJ�slia) <br /> • �i i� ct- [.�� �chsz� is cF tel.-�./ �!n <br /> 411/� Al ZZ:02 C 16/:aS �)Z�is_a�� 1 7c l) G.BCA c)zzq sH -z:of <br /> Z) L62-7G3. 7)LG2_'crc- <br /> I recommend: Approval 2 Denial Continuance El Inspector <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA H Check Off Ust, Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> II Dn:m RcPon=„_oI Voczmber Oa.'u ) <br />