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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013688 <br /> DATE RECEIVED by ERD: October 19,2020 APPL#: PA-2000168 <br /> Referral Agency STAFF CONTACT KELSEY GUNTER PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Mon, October 26, 2020 <br /> Assigned to : EE0007380 SHII-I <br /> SITE ADDRESS: 16360 N FOX RD, LODI APN: 05120008,-55 <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: ^,,„L Public Sewer: A o e <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> : ZOO -off a,4&tss 163(,0 N- <br /> oS 1 24x-)- .53`/J adc�YeSs /63b N. [suaa. <br /> J� lc,�A✓�e �v� sur s✓�1 v�b�i� /NS- F 9 /�3ao N• 7 e 2�1 Ja y �1 L'car fit` <br /> <.� 1/A'. <br /> -- .Si.+'Z{,�,� lP�l©7 S o�✓i r /��tZ.J4�” p4r .�'� �ip, <br /> I recommend: Approval F-1 Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 he k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 21,2020 <br />