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NOTE: PULL ALL "MITE (Septic, Well, etc.) MAKE 1._.,PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006592 <br /> DATE RECEIVED by ERD: June 12,2007 ADPL#: PA-0700258 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: RY-v <br /> - A S A R Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 11150 E HWY 12 , LODI APN : 05114048 <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 /> • .✓ / z 2 <br /> Z,4S <br /> I recommend: Approval12 Denial Continuance ❑ Inspector: <br /> Signature <br /> yu ervisor/Lead Senior COMMENTS: <br /> A0 kv n'- <br /> SUPERVISOR/LEAD SENIOR Approval: 0 d <br /> OA'7i. Beck Offl ist Proofread'e%P ` Cdr IX,— I E 2u <br /> r CrrctyCONDfIf3Nt��44? Lx4 $ed:in=[r'�tIf�[TSEBk? <br /> EH 06 06 Report 97201 June 12,2007 <br />