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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010535 <br /> DATE RECEIVED by EHD: June 26,2015 APPL#: PA-1500109 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2690 <br /> eA <br /> X, r LOT LINE ADJUSTMENT(LA) <br /> q <br /> COMPLETE& SUBMIT BY: <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 5920 W KINGDON RD, LODI APN : 05514012 05515007 <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 ����Z- - ls�Z /liar• ��r5`1�. �1.s1�� <br /> LSC/Sl1 -t7%- &Z � ' C l <br /> • ���-Els '`�/ �2 �#V3 �/�i�!` G)2Ll./�{Q.ISs <br /> A& c=s�v tT. s _.dam/ tic <br /> Cox -VS1—i -ge, 4 11yru1 -52c 4A�gc- <br /> L z:-)tp M—.A4o mak./ <br /> I recommend: Approval12/ Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> Ah le alAa <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> k Off List: Proofread Report? Correct LAND USE#? ' <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 June 29,2015 <br />