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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009632 <br /> DATE RECEIVED by EHD: May 09,2013 APPL#: PA-1300065 <br /> Referral Agency STAFF CONTACT: MEGAN AGUIRRE PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: M Z u <br /> � Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 10921 E HWY 12 RD, LODI APN : 05115052 53 54 55 <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: _�� : �L Z�YI��S ov'o�C-'c <br /> /A&a6Z rf-3 a 59,4 /P'5-5 � C�4i�as� 9 SE S s�sZrryn .gU�7t�T7lL/L�2L ,> eF <br /> -S '�w R444. <br /> , - ale) aa7?7-e zee fs <br /> Z2 674 -4 <br /> I recommend: Approval [a Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> l zf tcow W y( 41:zn <br /> t 0 6 IVO <br /> /3 <br /> SUPERVISOR/LEAD SENIOR Approval: 11" - Date: <br /> 10 <br /> m <br /> rt^rs ty W <br /> Ell 06 06 Report 47201 May 10,201 i <br />