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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012041 <br /> DATE RECEIVED by EIID: November 08,2018 APPL#: PA-1800064 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2666 <br /> REZONING 5+acres(ZR) <br /> COMPLETE&SUBMIT BY: Thu, November 29, 2018 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 9296 E HWY 12 , LODI APN: 05112056 <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: /V Wk-Q_ Public Sewer: <br /> Name of Purveyor Name of System /Svl v <br /> e <br /> SUMMARY OR COMMENTS: � <br /> �llr � c o rl21� �J <br /> W <br /> i a <br /> e <br /> SSS 2tid o-Y� a �/ <br /> I recommend: Approval Denial ❑ Continuance El Inspector: <br /> �\ <br /> Supervisor/Lead Senior COMMENTS: Sign ure <br /> p� <br /> O <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? IF Logged in LAND USE Book? <br /> El 106 06 Report#7201 November 08,2018 <br />