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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010779 <br /> DATE RECEIVED by EHD: February 05,2016 APPL#: PA-1600024 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, March 8, 2016 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITF,ADDRESS: 7101 E HWY 12 , LODI APN : 04913052 <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 /> - rIE_rt.S� <br /> l i�rzs z 1,4 �l7l� <br /> • .yU��G diL//�. Grp ZEIs cut3 cT�v�t�/LcotE.cU�P�. <br /> ql <br /> CEO 5V <br /> aL � 2Tcl�'�3 hl ZZ�i <br /> 'f C ?tic El/n rs�1s roc A ,z �zc� a7o��A��i zz -.4�xS o- r ✓ dam. <br /> I recommend: Approval Denial ContinuanceEl <br /> Inspect <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 2o(0 =02 �Q22 2o�S h� <br /> 44- 0 e <br /> 1 '2-01: <br /> z2 0 2 er CC <br /> SUPERVISOR/ LEAD SENIOR Approval: ,-- - Date: <br /> OA 1l Check Off List: Proofread Report'? Connect LAND LSE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 February 05,2016 <br />