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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> RECORD ID: SU0012238 <br /> LAND USE REPORT <br /> APPL#: PA-1900053 <br /> DATE RECEIVED by EHD: June 17,2019 <br /> PE : 2690 <br /> Referral Agency STAFF CONTACT RICK GRIFFIN LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: Fri, June 21, 2019 Assigned to : EE0009833 KAUR <br /> APN : 02508002 <br /> SITE ADDRESS: 9301 W HWY 12 , LODI <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: ()P11(- Public Sewer: Vy6h C <br /> Name of System <br /> Name of Purveyor 1�. t� <br /> S'rM VARY OR COMMENTS: F0(.tyj l 5 )e(rn it � G <br /> llfue <br /> �► opt <br /> P t �"1 U$ 1'1 ✓ I/J/.tfCY W SCC �G YlA"t P 1'1(�i"DQ Pl i/l a <br /> Did nN <br /> I recommend: Approval Denial Continuance 0 Inspector: Signature <br /> Supervisor/Lead Senior COMMENTS: / _ /y r -/19 <br /> / 9 <br /> yy) (� r -7 <br /> SUPERVISOR/LEAD SENIOR Approval: <br /> L Date: <br /> A 11 Ch k OS Li <br /> Proofread Report? Correct[.AND USF,#? <br /> Logged in LAND USE BooA? <br /> Correct CONDITION(S)? <br /> Jane 17,201 <br /> EH 06 06 Report#7201 <br />