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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012637 <br /> DATE RECEIVED by EHD: November 08,2019 APPL#: PA-1900129 <br /> Referral Agency STAFF CONTACT. STEPHANIE STOWERS PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Thu, November 28, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 15737 E SARGENT RD, LODI APN : 05307006,05307007,05307008 <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: Nouf Public Sewer: A/ON t <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: _ k/ V(,(),-I L US S � j w �� ( - L!n 6 TO M �lLS <br /> t <br /> S�pr-f-L <br /> fy"�t ZS RN <br /> 19POIrioN4L -7 r_PoR'T1D oN <br /> ren E��v� LaU�v.�t . I)Ppill,IrrLoN T-s fSvl(--1 of- C-AiFoJ,c, MQor <br /> �%^ o��� �s-N� �� OUC I NNS 1ASr Pyr ISS i <br /> I recommend: Approval ❑ Denial F1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 November 14,2019 <br />