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S <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012323 <br /> DATE RECEIVED by EHD: May 21,2019 APPL#: PA-1900104 <br /> Referral Agency STAFF CONTACT TEDDIE HERNANDEZ PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Mon, May 27, 2079 <br /> Assigned to: EE0009833 I{AUR <br /> SITE ADDRESS: 3434 W HWY 12 , LODI APN: 05517004,-4Q-41,-42,-43, <br /> 410 <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: N 6y\,L, Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> tftlt- S kIkWe,m c d 1 h ouS ar, 2 r�>ab� 1 e I�ornesl <br /> �r0P0�r61 (bt 0f�P-Ojr' <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> K, <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 21,2019 <br />