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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010093 <br /> DATE RECEIVED by EHD: June 06,2014 APPL#: PA-1300203 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE: 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE &SUBMIT BY: Tue, July 8, 2014 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 14719 N THORNTON RD,LODI APN: 05532025 26 <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 /> .4tJ�ct�l-t�r— <br /> �-U /.5<44&�5 eic .I Ze t32F. ZIr3N <br /> A) 1a:O5 e_0 <br /> I recommend: Approval D/ Denial ContinuanceEl <br /> Inspector: <br /> Signature <br /> Suliervisor/Lead Senior COMMENTS: <br /> D4- ' kj 10 <br /> 91 2a :o <br /> r If <br /> C) Zz 07 <br /> Di 1D2 03 <br /> e -0a <br /> SUPERVISOR/LEAD SENIOR Approval: {A/l '"�7 //�++i`� Date: / ✓ <br /> OA 1l Check Off List: Proofread Report? '` Correct LAND USE##? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 June 09,2014 <br />