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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ED: SU0012966 <br /> DATE RECEIVED by EHD: January 14,2020 APPL#: PA-1900306 Pre-Application <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Thu, January 30, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 16201 N TRETHEWAY RD,LODI APN : 05120053 <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: 1aooli— Public Sewer: o N E <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: MJ.4 <br /> N�--w �_L� - Ik. <br /> WILA� ►,A-L(n 1kL""6 0 a--H I bQ - <br /> + <br /> c,ir.Q TNS ' k-otoN.- �^ Fill• S �y x cwn:�'Z � VN-S" g Cc W r,r') <br /> I recommend: Approval Denial Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 Check OffList: Proofread Report? Correct LAND USE#? <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 January 22,2020 <br />