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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00011819 <br /> DATE RECEIVED by EHD: June 14,2018 APPL#: PA-1600266 <br /> Referral Agency STAFF CONTACT' GIUSEPPE SANFILH'PO PE : 2625 <br /> USE PERMAIIT,�I-MINOR(UP) <br /> COMPLETE&SUBMIT BY: Thu, June 28, 2018 p-v�v,,�S�(/1 <br /> Assigned to : EEO 00 9488 WONG <br /> SITE ADDRESS: 11241 N THORNTON RD, LODI APN : 05520003 <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 Purvey orn Name of System <br /> SUMMARY OR COMMENTS: ' �yl/� �js t <br /> agqrt_ +0 311 RZ4 d <br /> 3 res e 4470 - <br /> o sz(21a_� cI <br /> I recommend: Approval Denial Continuance Inspector: <br /> S gnature <br /> Supervisor/Lead Senior COMMENTS: 41' <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA ll h k ff Li • Proofread Report? Correct LAND USE,#? <br /> Correct CONDITION(S)? Logged in LAND USE 13ook? <br /> EH 06 06 Report#7201 June 14,2018 <br />