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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012520 <br /> DATE RECEIVED by EHD: August 26,2019 APPL#: PA-1600024 <br /> Referral Agency STAFF CONTACT TEDDIE HERNANDEZ PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Thu, September 12, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 7101 E H VY 12 , LODI APN : 04913054,04913081 <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: X6.tC Public Sewer: �rC <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: Q'gtL .C�� ��; .3 G ` zw� <br /> iSiec f*, S ee ruQo/0779 <br /> AV glle Lie..r 'Xd t-e eb? Zeleel <br /> — r�vrugs �1� ��s�� a/�.o/. `u� � /r.�r� Sr/���� f v • �i-e S'e�bO/Z�3 <br /> I recommend: Approval F-1 Denial F-1 Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 h ck Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 27,2019 <br />