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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013552 <br /> DATE RECEIVED by EHD: July 27,2020 APPL#: PA-2000119 <br /> Referral Agency STAFF CONTACT JOHN FUNDERBURG PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Mon, August 17, 2020 <br /> Assigned to: EE0000418 KITH <br /> SITE ADDRESS: 15045 E TOKAY COLONY RD, LODI APN: 06508020 <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: i�y�1�Cr Public Sewer: k')p�A-- <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> �R'V-"S, i S ( S <br /> S D � S 1L( f.o L.)o!-� 9-12aO <br /> tSt q 3 <br /> PLq-M, to.,,NS)it a ien" - 2�2�a�ioot� Z h_1149' <br /> 17 x. . �NI.i� +� Z> -4 3 `o 1 Z bcy <br /> Z+0`'"I - APW�c9 �p.�.,��. ��✓.fc a� Q�Q _ vJ� 0 wZ p�`%� IJo S��''� <br /> - � � ► 5 � cru �y co�oN`� - � <br /> I recommend: Approval 4 Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> I S 15 r /mak l 4-7L.,�Nr-1 - Z neo b c.c.c.�n..e CK <br /> - <br /> I <br /> 'DO cr <br /> l 5 0-'5 <br /> t 6 O—4, V w ",r.-siyr,.- W--kr— <br /> .- E-ti csc�� ���' � S-L� �� c`�-E--uC`-t$ � V-'t,E)fy.."�S w� �c-�4 � �.c, S►t !�T t=�-S <br /> c <br /> 'oUN•k..��.t. �����h�P��� b��► � N'�NSC �y �y iJ'�1..� <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> [2A 11 Check Off List: Proofread Report?---T Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 July 30,2020 <br />