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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00009809 <br /> DATE RECEIVED by EHD: October 25,2013 APPL#: PA-1300168 <br /> Referral Agency STAFF CONTACT: JOHN L FUNDERBURG PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE& SUBMIT BY: Wed, November 13, 2013 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 5400 W HWY 12 , LODI APN : 05516072 <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: a}r- &y&azo: I"2AWAY-rs adi"Z,�5' <br /> G7� Sfl� -;W- `IiZge�J -- t/ /%/ %/3) <br /> PYlEi215c� �1,/JE,c .tZiit�'Y17V �fs22.� �2l /i.=cT/Ji�si� 6-CswfS7rt�tcZ�f�/tG�3�' <br /> PL�Tn7.�tl<�..�3s tLf'C I3Ez�/'cu5'rZc� 3 �JLs_ / C�K�'� .4tt-l�iv l.�c[,cs <br /> li s sit/ ct� i i :t6 rr i�' dmz� <br /> � t n �itii �Kge • rrL�/L�rns!.J GY�ics d-/yk}IK37 f31�06c� <br /> • �r Q •fi <<�rc 5Y6t19+1 .� rY' i q�.s.�- ' l�c1S <br /> D, �Mvn -74Ak • �f1 ra t/C AC7 /2jt-9YA017Tr. cle=�. .767- -S&sM <br /> C4ti <br /> 49e 4"Ii4lj�Z- <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 13) 2'L'.AZ <br /> O1 ZZ : C/ <br /> -j--&3_0-� <br /> A� z2- -&4- <br /> -c41 041 <br /> h'► 11 0 1 A/ LN S <br /> C�) 27 .02 <br /> C) 11 DS' Ej "ZZ • 0-7 T) 101 :0(), <br /> b) <br /> 2 2 0 ( Ltu Zoe <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: 11 l 3 <br /> h ch ck List, Proofread Report? Correct.LAND USE-#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> 11106 06 Report#7201 ociohcr 28.'_013 <br />