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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010084 <br /> DATE RECEIVED by EHD: May 29,2014 APPL#: PA-1300013 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE&SUBMIT BY: Tue, June 3, 2014 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 1100 E HARNEY LN,LODI APN : 05807015 16 <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 OR COMMENTS: <br /> A l Dv 74�c= .A�2122 . Sym&= 6247z+--i4-0W AS t51AZ&-Z ewe?j� <br /> I recommend: Approval Denial Continuance Inspect <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> QS. (� <br /> SUPERVISOR/LEAD SENIOR Approval: /V/-7 Date: 10 <br /> All Ch k Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 29,2014 <br />