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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009523 <br /> DATE RECEIVED by EHD: February 12,2013 APPL#: PA-1100083 TE <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: Thu, February 28, 2013 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 15250 N THORNTON RD, LODI APN : 02519018 <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 /> 3ensity, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> [ recommend: Approval Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/ <br /> L <br /> ead Senior COMMENTS: <br /> V <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> 5 <br /> .I. <br /> Ii <br /> EH 06 06 Report#7201 February 12,201' <br />