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�— NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00010259 <br /> DATE RECEIVED by EHD: October 10,2014 APPL#: PA-1400199 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <br /> ASAP-6y-. Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 9397 E SCHMIEDT RD, LODI APN : 0511021 49 50 <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 /> ,g 04W- k - - <br /> !t1 l.� - ���7-fd.�•t5�)Ct�,'s)�Z�'�S T�l�'l�faC"c%c.'�rs/-J'3'-L�G�I r.�� <br /> I recommend: Approval Denial Continuance F-1Inspector: - <br /> Signature <br /> Supervisor/Lead Senior COMMENTS:/Lead Senior COMMENTS: <br /> 6 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> Off List Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> H 106 06 Rcport 07201 October 15,2014 <br />