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1117 <br /> NOTE: PULL AL,.--.jERMITS (Septic, Well, etc.) MAKE-. OPIES-FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008700 <br /> DATE RECEIVED by EHD: April 04,2011 APPL#: PA-1000131 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2627 <br /> USE PERMIT-MAJOR(UP) <br /> COMPLETE &SUBMIT BY: Tue, April 26, 2011 <br /> Assigned to. EE0005944 ESCOTTO <br /> SITE ADDRESS: 15300 N THORNTON RD, LODI APN: 02519016 18 19 <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: ` — _ � d © / <br /> 4 _ c11,x.4 I z<Y. � s <br /> -1We--� a2-!5 947--29 R-A/G �7e L 6�k�Z `.f V01 01.4,3 E g e e L2 ,47 <br /> s <br /> [ recommend: Approval © Denial Continuance ❑ Inspector: ` <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> W - per <br /> G- <br /> A j 2;47 <br /> LF <br /> SUPERVISOR/LEAD SENIOR Approval: Date: f <br /> 'OR It Check flffIS! P afra <br /> I q fA 46 ¢ <br /> rre, <br /> EH 06 06 Report 47201 April 04,2011 <br />