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NOTE: ULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011639 <br /> DATE RECEIVED by EHD: January 26,2018 APPL#: PA-1700179 <br /> Referral Agency STAFF CONTACT? JOHN FUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, February 2, 2018 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 3434 W HWY 12 ,LODI APN: 05517004,43,44 <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: A�— Public Sewer: /ang <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> ?� 1MaePewow f c.• hrr. <br /> /Vp /l f✓�r w/1''L ,.it/.e a� 5'CA�a_ <br /> 0Rd e-ti W-3 'T-,w.7l Ite4ul stn. /,CSs A— Z!Lzcc <br /> Solt� 4 sI/ M is ICS! $ ""?v d/Jtda�r� r+ ✓'`�� <br /> I recommend: Approval FC] Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> i <br /> EH 06 06 Report#7201 January 26,2018 <br />