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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010923 <br /> DATE RECEIVED by EHD: May 31,2016 APPL#: PA-1300203 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Tue, June 21, 2016 "T"`c CQ +� '5n,n <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 14719 N THORNTON RD,LODI APN: 05532025 <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 /> ,a 1 US i1ZG- /y'sc sof sp/zu/� i�' yrs e� /95 *zLL7 si s/y7� <br /> zmc�cK Gi//27 ZLL4 <br /> I recommend: Approval Denial Continuance Inspecto . " <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: / <br /> 'ek RSO ti C , <br /> SUPERVISOR/LEAD SENIOR Approval: Date: 6 t SL <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 June 01,2016 <br />