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NOTE: PULL ALL ERMITS (Septic, Well, etc.) MAKE OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005992 <br /> DATE RECEIVED by EHD: April 11,2006 APPL#: PA-0600182 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, May 2, 2006 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 14101 N JACKTONE RD, LODI APN : 06325027 <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 /> dtl�l�_�cl.�r �.zw�/.• 14�Z81G�s") <br /> AlTCrf/mac ?kms 'e T� 42Li ABV CG rt�-s f c ca'/ r I i c9= d4ei-m✓e"/r /'rfly G��9 <br /> �2G _+#? Ca�l�7J.i �¢I LcGs7l�vi�lt /.al7N�SS�E /� en ✓X�IIEEr�7ic <br /> 7 /,c <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> -* 07 <br /> J7 rr <br /> Ll C{ _r tlf rcolDo✓w-Ft.o C' ui�-vw.t.. ubG <br /> LCSe /(J.. -r p ✓'C C O�s+La'iL� 01` Ta Q.,j <br /> 3 (( •03 q . <br /> °f 22 .oI Q✓ <br /> r �I <br /> li✓LA LKS 1 C �iQ Lr t f a I S a✓wo r o'F S G 1 <br /> I $ ,✓Q_ 1 ��/2/"{e"✓�.M)1 ✓1..t O.- '`✓In2.4 S-'C ft ✓'fs {• Q ✓, <br /> Very f .of ST- Tft r�yVr � frtf l('.D C Y-t A'[ (L -e)ey-e C47 Of <br /> QG� yw C�c�f( �-�+-(ce,L.� a s ✓Y r ow.✓x2.� cFn d ( - -fla w.0 0 -! a K c/ C on c .c ✓re� <br /> F , I-( o c o.&2a-17� ✓ <br /> SUPERVISOR/LEAD SENIOR Approval: Date: S -.)-[U(2 <br /> EH 06 06 Report#7201 April 12,2006 <br />