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-,H"t4 w,.af <br /> NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012576 <br /> DATE RECEIVED by EHD: September 27,2019 APPL#: PA-1900214 <br /> Referral Agency STAFF CONTACT! RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, October 10, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 9150 E HWY 12 , LODI APN : 05112048 <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: Vw vpz Public Sewer: A2,,v— <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <i e rrr Pte' E't/y <br /> " <br /> SA—O <br /> �JS�✓wd M .... / '/�(.7 lr 1..:.C. 4—j t( /ab ,6un'�S• v L.A'/�'�r'--� Q S G(J �..Q 5. . 5 r 1 r r� �. vy'. y�'K.. <br /> /�•F z��o.�lo S �fybe h <br /> -A <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: 0 <br /> A 11 h ck Off Li Proofread Report? Correct LAND USE , W7 <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 September 30,2019 <br />