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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013119 <br /> DATE RECEIVED by EHD: March 27,2020 APPL#: PA-1300118 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2627 <br /> USE PERMIT-MAJOR(UP) <br /> COMPLETE&SUBMIT BY: Thu, April 30, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 14647 N RAY RD, LODI APN : 05516029,41,50,& 51 <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: lo,tyYi� Public Sewer: PIL <br /> Name of Purveyor ( 13 i •��S> Name of System <br /> SUMMARY OR COMMENTS: i S AI/ 4)rv�ll��-� f'm '00wf:G;L <br /> �� at�c�exx / <br /> & juk"-sr lg)�-h w i-rr-LI it <br /> e. <br /> wPls r Id k", Viz_ <br /> by�sT �G✓�i 12 <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 h k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 March 30,2020 <br />