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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012042 <br /> DATE RECEIVED by EHD: November 13,2018 APPL#: PA-1800279 <br /> Referral Agency STAFF CONTACT: FRANK GI RARDI PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Thu, November 29, 2018 Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 5573 W WOODBRIDGE RD, LODI APN : 01117052 <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 //� // J Name oof,System <br /> _L <br /> SUMMARY OR COMMENTS: n� �t(�C �!^! Lr /npl I /brSP a� <br /> D VjAr 1( 1 <br /> ( • 0 i <br /> n <br /> Z 2 zo�e <br /> a ornaS a en wln <br /> I recommend:i Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: !/ <br /> A ll heck N List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 kvv t/ 9K 2 November 14,2018 <br />