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NOTE: PULL ALL`PI RMITS (Septic, Well, etc.) MAKE CdIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008473 <br /> DATE RECEIVED by EHD: October 14,201.0 APPL#: PA-1000232 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: C?Vl <br /> -signed-t O <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 ares oft` V/hjk Ui la7igh <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 /> - I recommend:-- Approval- Denial- - Continuance - `Inspecto <br /> El <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR 1 LEAD SENIOR Approval: ate: �• l Q <br /> (7A f1 Check C!f LrstPrt�ofread lLepot7 <br /> ix. :€�,, �;?rLyes ,,p- ,< ;a' S �v,,s, .a=e .%: °3 s ag, € §;1 �t <br /> l.'OI"LCet' 1.�Qb�l -:'ti `s,° �€ � .Ec ._.: z3j—1 ^�...,x : 'ac i^�ss�fzi' �::`'� <br /> _ .- <. €... _ 1edI�,CINE B Do�. s <br /> EH 06 06 Report#7201 October 15,2010 <br />