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NOTE: PULL ALW..ARMITS (Septic, Well, etc.) MAKE..4PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005756 <br /> DATE RECEIVED by EHD: November 04,2005 APPL#: PA-0500745 <br /> Referral Agency STAFF CONTACT: CEALY LEIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, December 6, 2005 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 5184 W ST RT 12 , LODI APN : 05516022 <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 /> Ajc - .25 z <br /> o✓�,catz�f�i�4u?��v���6-k-�?2���r��sc�!>t�T,��f-�tz/!�o �� <br /> l�C -a4c�L�S� <br /> .42 <br /> I recommend: Approval Denial Continuance Inspector <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> �y <br /> 7 <br /> SGPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA II Check Off List: Proofread Report? _ Correct LAND USF# ? <br /> Correct CONDITION(S)'? bogged iii LAND USE Book? <br /> EH 06 06 Report#7201 November 04,2005 <br />