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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012182 <br /> DATE RECEIVED by EHD: February08,2019 APPL#: PA-1900015 <br /> Referral Agency STAFF CONTACT TEDDIE HERNANDEZ PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE & SUBMIT BY: Fri, February 15, 2019 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 12691 W HWY 12 , LODI Z 3x.Z APN : 07,02504008,02505005 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., age 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: 000v\-� Public Sewer: tj <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: � � <br /> �N <br /> t <br /> I recommend: Approval ❑ Denial ❑ Continuance El Inspector: <br /> Signature <br /> Suoervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: `Ij% l <br /> OA11 heck H Li • Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 February 08,2019 <br />