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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010531 <br /> DATE RECEIVED by EHD: June 26,2015 APPL#: PA-1500106 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: AbAF-bY: <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 9244 W HWY 12 , LODI APN : 05507013 26 38 05515007 20 <br /> 23 <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 /> �-'D/•ct�[. � L.l � (s��l5 SL�L� C�c'�t/�jL�/Ltr��.�G?Zf-7�- <br /> -- Tl�CG7�I 1I��Zc�. <br /> 41 C,:) CX�y/z z;;) 7711-S <br /> I recommend: Approval 12/ Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: \ <br /> 4�6 — 01,16 M�4� <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 June 29,2015 <br />