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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009684 <br /> DATE RECEIVED by EHD: July 01,2013 APPL#: PA-1300080 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE & SUBMIT BY: Tue, July 16, 2013 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 23751 E HARNEY LN, LODI APN : 06704001 <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: _�"� J; �C/ka' )f4 �✓�ru� <br /> A)//l�� I.UrE'Tfh—L�fD M-M 'f) +&,0-7 �iZ� 17x Y/(� zeI3 11—s4$/�✓iN�2G✓bD <br /> ey-I z� ^ <br /> I recommend: Approval ©" Denial ❑ Continuance Inspecto <br /> Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> 0 <br /> bl 11 11 a — r� a Ati Ma.1 I b . Zo1 3 — nrlvN.cd <br /> ('tel <br /> it. D (o <br /> t c1 )'->0 U2 Oc,t,(0'=e�j �wvwroQv <br /> (D) 'LZ D ?- <br /> Z-L -o <br /> SUPERVISOR/LEAD SENIOR Approval: Date: -7 -1-3 <br /> A <br /> EH 06 06 Report#7201 1Wy 0 1,201 <br />