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NOTE: PULL ALL'PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500008745 <br /> DATE RECEIVED by EHD: May 09,2011 APPL#: PA-1100083 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE &SUBMIT BY: Tue, June 7, 207'4 <br /> Assigned to : EE0045944 ESCOTTO <br /> SITE ADDRESS: 15250 N THORNTON RD, LODI APN : 02519018 <br /> [n 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: G' <br /> ' DC7 Gct�-�; GL �G�GGr�..�'t���55CiF� ra� �•��ec/���_�iC.G��� ..._ <br /> [ recommend: Approval Fy7 Denial Continuance Inspecto <br /> Signature <br /> Supervisor/Lead'Senior COMMENTS: <br /> SUPERVISOR I LEAD SENIOR Approval: Date: <br /> 0,4 ll check OfiFt►sfff <br /> ;Probfreacl Repo ? & r i <br /> EH 06 06 Report 4720.1 <br /> May 11,2011 <br />