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NOTE: PULL ALL�_:RMITS (Septic, Well, etc.) MAKE t.,,#IES FOR FILE <br /> LAND USE REPORT RECORD 1I): SU0008620 <br /> DATE RECEIVED by EHD: February 04,2011 APPL#4: PA-1100015 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE: 2633 <br /> SITE APPROVAL-MAJOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, March 8, 2011 <br /> Assigned to : i:E0005944 ESCOTTO <br /> SITE ADDRESS: 14900 W HWY t2 ,LODI APN: 05503015 <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: __ ��� �� �� ��fa G �✓/ � �� <br /> I recommend: Approval Denial Continuance Inspecto <br /> Signature <br /> Su ervisor/Lead Senior COMMENTS: <br /> OF <br /> SUPERVISOR/LEAD SENIOR Approval: Date: A9, ] <br /> ,..ak € ,.-F<a' ,... .d f'... ,S$i�...3 3 - - <br /> OL,1 1!Check Off Lis f. ¢µ Pr©oreatt Rpvct >. € € C�rreCf f zA NT}USE #''. s< .� i , <br /> r ';:.�:.., '_. lffl�tf"�F-Tlkk-F ' ' "=� : § ay�?scrP...�.-^:�" t,`' �°<� � Lpd�n L�4I�TD Lf <Bol�k _ s ; r 1� >s <br /> EH 06 06 Report#7201 February 08,2011 <br />