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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0012194 <br /> DATE RECEIVED by EHD: February 14,2019 APPL#: PA-1900020 <br /> Referral Agency STAFF CONTACT CHRISTINE LUCKASEN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE &SUBMIT BY: Fri, February 22, 2019 <br /> Assi ned to : EE0009488 WONG <br /> SITE ADDRESS: 7481 E HWY 12 , LODI C{ APN: 04913012,05135001 <br /> In completing the Land Use investigation, draw all Public He th 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.... • qq <br /> Public Water: NaA9— Public Sewer: <br /> Name of Purveyor Name/of System <br /> SUMMARY OR COMMENTS: 7 J f)I A S / � / N�Yf /l o NLQ� t4C{0 <br /> c sys�.ewfs�/� 22 0-t- <br /> -t-0 Am--co(\- r,Mivlck b cQ— tao,- 40-t ,l2-e <br /> ��1�." � 1 <br /> WDI'51�, Cr�0.V1 b? dfQi� -Fpr' ?arcd— o�w►QU2c � VV�QILSWUWAo,,d <br /> if-Q C, tdY\ Je ( J t r+t,,j ay, A 150' -,D <br /> Clzc4wi nA m mct arc mW r^ <br /> AJo pct i R -W'S. <br /> � h -� 4-vi o a <br /> I recommend: ApprovDenial F Continuance F Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: f <br /> AII heck H Li ; Proofread Report? V Correct LAND USE#9 <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 February 19,2019 <br />