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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE %.r*P1ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007242 <br /> DATE RECEIVED by EHD: June 20,2008 APPL#: PA-0600417 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, July 8, 2008 <br /> Assigned to : EE0009649 ESTRADA <br /> SITE ADDRESS: 4052 E SCOTTSDALE RD, LODI APN : 058 120 07 <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 /> I recommend: Approval F-1 Denial F1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> '' !Z l 7 2 O <br /> SUPERVISOR/LEAD SENIOR Approval: _ T Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE 4 <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> =H 06 06 Report#7201 June 24,2008 <br />