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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012183 <br /> DATE RECEIVED by EHD: February 14,2019 APPL#: PA-1900016 <br /> Referral Agency STAFF CONTACT CHRISTINE LUCKASEN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: Fri, February 15, 2079 Nz <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 3434 W HWY 12 , LODI/3 APN : 05517004,05517040, <br /> ISL� H551:F044i, 055IF04i <br /> In completing the Land Use mveStigation, 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: Iv 'Yk__ Public Sewer: <br /> Name of Pur yor Name of System <br /> SUMMARY OR COMMENTS: d2l S <br /> d— r ' tj " <br /> I recommend: Approval ❑ Denial ❑ Continuance Inspector: <br /> Signature <br /> Sunerylsor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: h "` -` Date: <br /> OA II Check Off List, Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> GI-I 06 06 Report 47201 FCbruary 14 2019 <br />