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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012308 <br /> DATE RECEIVED by EHD: May 17,2019 APPL#: PA-1900088 Pre-Application <br /> Referral Agency STAFF CONTACT ALISA GOULART PE : 2626 <br /> COMPLETE & SUBMIT BY: Thu, May 30, 2019 USE PERMIT-GENERAL(UP) <br /> Assigned to : EE0009833 KAUR <br /> SITE ADDRESS: 6318 E HWY 12 , LODI APN : 04912003 <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 1 yyV^u Public Sewer: Nt <br /> Name of Purveyor Name of System <br /> SUMMARY OR OMMENTS• <br /> y ? 112 E H!A iL <br /> �t�±— S ISI ►9 <br /> 1 <br /> 06cexv4d r)V) n ra-It r n p. l I <br /> --�--- f---�� 'an -"le Si A-6 J� lan <br /> �,, �xi�iinq hnl « , rah t�iW rm' ynri hie lis Own sell , <br /> I <br /> I recommend: Approval ® Denial Continuance Inspector: <br /> Suoervisor/Lead Ngnior COMMENTS, Signature <br /> SUPERVISOR/LEAD SENIOR Approval: PI ��" Date: <br /> OA 11 Check Off List, Proofread Report? V Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 <br /> May 17,2019 <br />