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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013460 <br /> DATE RECEIVED by EHD: July 06,2020 APPL#: PA-1600264 <br /> Referral Agency STAFF CONTACT GIUSEPPE SANFILIPPO PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Thu, July 30, 2020 <br /> Assigned to: EE0000418 KITH <br /> SITE ADDRESS: 20309 N DE VRIES RD, LODI APN: 01303007,-08&01306009 <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: c"-/ Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> /�l�'S� �.�� LET TF�-r c� ��tip�T� r�r ��/9�► <br /> I recommend: Approvai\[N Denial ❑ Continuance inspector: <br /> Sign e <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? 41 <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 July 06,2020 <br />