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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013532 <br /> DATE RECEIVED by EHD: August 14,2020 APPL#: PA-2000106 <br /> Referral Agency STAFF CONTACT KELSEY GUNTER PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Fri, August 21, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 12741 N JACK TONE RD,LODI APN: 06327012,-32 <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: ,10 Public Sewer: tion <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> kc v— <br /> ✓��i/I 5 ter` vier' <br /> I recommend: Approval Denial ❑ Continuance El Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 he k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 ALILLIst 18.2020 <br />