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NOTE: PULL AL RMITS (Septic, Well, etc.) MAK PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006008 <br /> DATE RECEIVED by EHD: April 18,2006 APPL#: PA-0600208 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2663 <br /> VARIANCE(VR) <br /> COMPLETE&SUBMIT BY: Wed, April 26, 2006 <br /> Assigned to : EE0009649 ESTRADA <br /> SITE ADDRESS: 11453 W HWY 12 , LODI APN : 02506003 <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: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY O/Ree COMMENTS: / <br /> l�t vtcee �l r `"C ✓�i�'� (� — c C d u S r c1_. is J/ d�e I S��a C,(v E w Q c r-o -✓ <br /> I recommend: ApprovalET Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> I / <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> Proofread Re ort? ' <br /> OA 11 Check Off List: P Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 April 18,2006 <br />