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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011801 <br /> DATE RECEIVED by EHD: May 14,2018 APPL#: PA-1600266 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE&SUBMIT BY: Wed, March 14, 2018 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 11241 N THORNTON RD, LODI I ( 2a11 Z 6 D r'! ;,vy�APN: 05520003 <br /> In completing the Land Use investigation, draw all Public Health factors on the e Ibitl(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.div ec, -tiion,netc.... <br /> Public Water: �V Yom- Public Sewer: A) <br /> a)'l-.Q <br /> Name of Purveyor _4- Allo ( puS l fSystem <br /> SUMMARY OR COMMENTS: d } <br /> o ���� �� , rr�, <br /> Q-N GN " ,/ Cl z D <br /> mo tel' s � �i zo <br /> I recommend: Approval ❑ Denial ❑ Continuance El Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 14,2018 <br />