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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010728 <br /> DATE RECEIVED by EHD: December 24,2015 APPL#: PA-1500257 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COAPWa,r: Thu, December 31, 2015 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 8567 E HARNEY LN,LODI APN : 06307053 <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: 9 <br /> . G✓�/q /5/J tvdfi� <br /> I recommend: Approval ® Denial Continuance ❑ Inspect <br /> rgnature <br /> Supervisor/Lead Senior COMMENTS:: <br /> 4 4A <br /> i r <br /> U/11/ <br /> SUPERVISOR/ LEAD SENIOR Approv*, -Date: i <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> [Ii 06 06 Report 97201 December 24.2015 <br />