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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 EIID: 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 /> density, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> t recommend: Approval ❑ Denial F] Continuance ❑ Inspector: <br /> Signature <br /> Sunervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Check Off List: Proof3cad Report? _ Correct LANI)USE,#? <br /> Correct CON ATION(S)? Logged in LAND USE Book? <br /> EH 0606 Report#7201 1chiuun L. _'ail_ <br />