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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE MPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00006485 <br /> DATE RECEIVED by EHD: March 27,2007 APPL#: PA-0700119 Pre-Application <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Wed, April 11, 2007 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 13311 N SHATTUCK TRACT RD, LODI APN : 05807029 3132 <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 /> • •yU l,«�- r/L�c"fir<r�1,��?��..�,5 sLlt=.S���x,���✓�.���%1�- <br /> I recommend: Approval F-1 Denial F� Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 9 Ak/ <br /> L ZZ "d <br /> / O �t' �. <br /> z2 :a7) <br /> SUPERVISOR/LEAD SENIOR Approval: (. Date: L` <br />,H 06 06 Report#7201 March 27,2007 <br />