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NOTE: PULL ALL PERM1*`S (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> SA-01-52 <br /> LAND USE REPORT (13436 N. THORNTON ROAD, LODI) <br /> EIID RECEIVED APP.REFERRAL: 7-t Q-01 COMPLETE & SUBMIT BY q- 3 -01 <br /> DATE DATE <br /> ATTN: —Q.dt t1 t1 Q u J <br /> SITE ADDRESS: <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II CHECK OFF LIST: Proofread report? Correct LAND USE#? <br /> EH 06 06 Rev I/99 <br /> Correct CONDITION(S)? Logged in LAND USE BOOK? <br />