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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012579 <br /> DATE RECEIVED by EHD: October 02,2019 APPL#: PA-1900108 <br /> Referral Agency STAFF CONTACT. ALISA GOULART PE : 2622 <br /> SUBDWISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Thu, October 31, 2019 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 20920 N DAVIS RD, LODI APN : 01309027,01309028, <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: NO,t_ Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> office A-flnJ gV13-aYv-L7 udbars Lu9zd K-d <br /> P N e 13-0 4 U- 31 odd mds 2 o y Sd N •Dar v4 <d. . Ae n-w K•2:2-- /F nfJj kap-t- c4A cullet, <br /> v tt le 1y 20 Ytd N. h c u X.J, <br /> air,• o,. +r1c. �k zo q in N. -N.Ve , �II ��QUI fti, (.u� 6�a>lz3 QlC,✓IS, <br /> Is ell f, r.n�'�5 ow fi/e _ 6v a ��� /]prn+.r ` FrS� <br /> '0� ���,..,. �e Irkr <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: Loll 17714 <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 02,2019 <br />