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NOTE: PULL ALLPERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006671 <br /> DATE RECEIVED by EHD: July 31,2007 APPL#: PA-0600606 REV <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2622 <br /> SUBDMSON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Fri, August 10, 2007 <br /> Assigned to : EE0005944 ESC <br /> SITE ADDRESS: 12744 N JACK TONE RD, LODI APN: 06327049866 <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 /> s szw <br /> rae�-rn-i,Jh--ems - <br /> I recommend: Approval Denial Continuance Inspector: a <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> L�2 LZ <br /> SUPERVISOR/LEAD SENIOR Approval: t� �� Date: <br /> OA 11 Check OK List: Proofread Resort? " Correct LAND USE <br /> Correct CONDI HON(S)? Logged in LAND USE,Boo - <br /> 31106 06 Report#7201 Aueusi 071W c <br />