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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009423 <br /> DATE RECEIVED by EHD: November 26,2012 APPL#: PA-1200230 <br /> Referral Agency STAFF CONTACT: CORINNE E KING PE : 2611 <br /> SUBDIVISION-MAJOR(SU) <br /> COMPLETE&SUBMIT BY: Wed, December 12, 2012 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 22260 E HARNEY LN, LODI APN : 06521007 06522003 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e., sewage disposal, water <br /> >upplies, 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 /> Za7 e566t7kl&�) <br /> if) 6X&7e:�-! �drC aV?� <br /> A b> 1 B) /l l Zer7 oz c I ZZ-v2 L)) F-1 ZZ.o/ <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> //a <br /> s T <br /> Ilk <br /> fvel'E u , +� <br /> 2Z%oZ <br /> z:r, 1 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA ii" <br /> Pro9fre CtitLANDt7SE#.?� <br /> t riettrONt31't C3tt(S}# " I egged 3n E11t4 tJ <br /> EH 06 06 Report 47201 November 26,20N <br />