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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012360 <br /> DATE RECEIVED by EHD: June 06,2019 APPL#: PA-1600179 <br /> Referral Agency STAFF CONTACT! TEDDIE HERNANDEZ PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> )COMPLETE& SUBMIT BY: Fri, May 31, 2019 <br /> LZ Lin'" f Assigned to : EE0009833 KAUR <br /> SI ADDkESS: 7871 E HWY 12 , LODI APN : 05135008 <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: no <br /> I recommend: Approval Denial ContinuanceEl <br /> Inspector: <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: — Date: J <br /> 2771 <br /> All h k ff Li : Proofread Report? V Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 June 06,2019 <br />