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j r <br /> NOTE: PULL AL60ERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005891 <br /> DATE RECEIVED by EHD: January 24,2006 APPL#; PA-0600020 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2625 <br /> .USE PERMIT-MINOR(UP) <br /> COMPLETE&SUBMIT BY: Wed, February 8, 2006 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 11265 N THORNTON RD, LODI APN: 05520003 <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 /> ".�'✓�/_57�..�� /J�//�. /Yrea�r,�'/�ri� r�a�/�.•.�-6c� /�����i�►��s7LG 1 t���llG 5 f�� <br /> �lf� _ ��•L�C7�'7l�!!?s'BGL�Lf�� 5G�4`�%�4YlGSF6�'3�/�SCt�.a���7lc-. �9 �r�S�c <br /> 'Y± �8G1 <br /> I recommend: Approval Denial Continuance Inspector: <br /> -*"70.Air— Signature <br /> Supervisor/LeadSenior COMMENTS: <br /> Ll�G✓d x�12� CBS/YL�Cet�E fC.s�� �1 14:W-4W0 <br />' ZtlfS?�� ��c,�"�/ 7� !����.42cs�[J l.��c.��1�lGTr�f,�7�/<a5 c✓Ti�� ��2rrs7���- <br /> / 2C,r= �x� c�J l ee /l9i•�(�/��y 6 ac 17��� i�LGI�%/1�/IA3i1?!7 +li 7c��/ ems. <br /> d� :0 s <br /> o' iS mar S14a ;. <br /> yl <br /> r he <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: proofread Report? Correct LANDUSE#? <br /> Correct CONDITION(S)? Logged in LAND.USE Book? <br /> EH 06 06 Report 97201 January 24,2006 <br />