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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013462 <br /> DATE RECEIVED by EHD: July 06,2020 APPL#: PA-2000102 <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE&SUBMIT BY: Thu, July 30, 2020 <br /> Assigned to : EE0009843 SOK <br /> SITE ADDRESS: 9220 W HWY Ill.., LODI APN : 05507021 <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: ;,ate- Public Sewer: N<pAg- <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: jT(j UJCSJ,—F; 7 JI�1 f Z o <br /> caw,N w A_ .c R VQ S M&L,L, (-l�M.t��y✓ <br /> 6C CoQ P4 TL) kL. <br /> Kn ^(LC- - <br /> S DbjL/k U> _S 12-0 pbV, <br /> I recommend: Approval Denial ❑ Continuance Inspector: <br /> Signatu e <br /> Supervisor/Lead Senior COMME <br /> SUPERVISOR/LEAD SENIOR Approval: Datc <br /> OA 11 Check Off List: Proofread Report? Correct I,AND USE#? <br /> Correct CONDITION(S)? L,ogged in LAND USE Book? <br /> EH 06 06 Report#7201 July 06,2020 <br />