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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009687 <br /> DATE RECEIVED by EHD: July 08,2013 APPL#: PA-1300105 <br /> Referral Agency STAFF CONTACT: JOHN L FUNDERBURG PE : 2625 <br /> COMPLETE& SUBMIT BY: Wed, July 31, 2013 USE PERMIT-MINOR(UP) <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 5484 W HWY 12 , LODI APN: 05516023&25 <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 /> Jensity, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS, / <br /> L6 X1211�t/J' .CJD 2q1/!S GV,Eur <br /> 01/31 <br /> eta 2cz�c r —�2 zy <br /> 1Z�lcrrY7L--nL�.fZ '/c <br /> AI (Z_0`� a2_ZZ:a c F) 2Z '&71 /If)2Z.,c7 - <br /> I recommend: Approval2l Denial Continuance Inspecto . <br /> Signature <br /> Supervisor/Lead Senior COMMENTS- <br /> '-A <br /> �lcf� . (#V (/ 07 Zb2S ties <br /> �R)2Z 0 L <br /> _ ( cJ 0 0 5 <br /> (1 0 3 a- <br /> (E) 22. 0 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> wxr <br /> „ h <br /> EH 06 06 Report 47201 <br /> July 09,201 <br />