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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011183 <br /> DATE RECEIVED by EHD: January 13,2017 APPL#: PA-1600179 <br /> Referral Agency STAFF CONTACT: MEGAN AGUIRRE PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: Tue, January 31, 2017 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 7871 E HWY 12 ,LODI APN : 05135007 <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: 221 SVA6�) , ` 6 1 <br /> 2, r7�.h.�,�Cr, T: 126 .I��C.t�uP�i b>i.E`/�z—'`I'-rte tt.�•ia/c-2y�s T ` .�.'E2� <br /> ,s�Zt� �6'7.t[c�7co.�•r4'��1./�b✓7�`�!�<e5��<Sl�./G 5�°zi�- �rt�f��'��4r�r�/ <br /> T1�»�rnl/ �Ld 7 �4C6'EL�a�Si.S��etgr <br /> /Zc grYl7�t�.el-ZfG25 �/'/1� 7s��7�i9s.✓6 rl�b/ar�/Zi fZ- St7�ll�.S�Zc�I.�sTi�[�5 <br /> _.�/a,.l», ,tn ;�?, ,hca, i�v,,.vpv.���y,� • n� ?�2-���//'� �l/^/� c� Z.;�[.�F y1 <br /> <JL :d3,� 245! v/ //lam:p/ - 4"--- 4,3, ej Y.' 2:n <br /> I recommend: Approval Denial D Continuance Inspecto <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: Amf "C— IF CNLL }Y'rf:*f .92.5U'W <br /> n& , D*� ipsthZ4. R� To I.tTL�II1�.� Cl/ Akr11C- W fir`/ <br /> A-) <br /> B) 22%ozCa) <br /> -�Z <br /> Z-o z <br /> to[2. ('�) <br /> �) Oz <br /> d L -,u3 <br /> U Z :.0 LF <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> A 11 h k Li : Proofread Report? Correct LAND USE p? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH U6 06 Report 47201 <br />