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NOTE: PULL ALL ,RMITS (Septic, Well, etc.) MAKE %---PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006157 <br /> DATE RECEIVED by EHD: August 01,2006 APPL#: PA-0600417 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Wed, August 16, 2006 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 4052 E SCOTTSDALE RD, LODI APN : 05812007 <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 /> LeZ4Z-,- <br /> ice' T rL✓L�CGo1ZrsGts�� 1 S e� l�, ri�i2-'L C �?ltzyl� t/ecL .Y2� <br /> Tse B dZy %.t 7� T 47.r�cJ �� I� GTh—�c✓�-4'�1i�,sJ�rl�z-, <br /> ,crydlrr�s dzLz /.t� <br /> I reco men Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Le (dSenior/]COMMENTS: <br /> VOTE: Applicant will need to get written approval from a public entity that will accept the <br /> Proposed winery waste should applicant propose to haul winery wastewater offsite. <br /> 'l'llat written acceptance shall he presented to the l nvironmental Health Department <br /> prior to isswm@@ 4 ' final OCCUP,111Cy approval. <br /> , r <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA lI Check Off List: Proofread Report?_ Correct[,AND USE i?? <br /> Correct CONDITION(S)?_`__, Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 01,2006 <br />