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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00010571 <br /> DATE RECEIVED by EHD: July 28,2015 APPL#: PA-1500131 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2660 <br /> DEVIATION(DV) <br /> COMPLETE&SUBMIT BY: Tue, August 18, 2015 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 17011 N TRETHEWAY RD, LODI APN : 05114016 <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: leellj,57')- 4L (i j L_LaL � �Jv(y1 1111-��f�Ef�7??1[7S <br /> EXiS�� l-te"C7)3 G'J29Cc <br /> Zhit 110 / V calk)/L ;n1 22 li)r-lt- 42-,L <br /> I recommend: Approval Denial Continuance Inspector: _ <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: IF <br /> k Off List- Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 <br /> July 28,2015 <br />