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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009760 <br /> DATE RECEIVED by EUD: September 16,2013 APPL#: PA-1300158 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 19850 N THORNTON RD, LODI APN: 01114017, 18,19&20 <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: �1'�I <br /> - ,l,D sal OL z9 (fit" /«cam G�fi�Bf�GfXt KPJYt�- <br /> /-4 1 1,6 .till Com. <br /> I recommend: Approval Denial F Continuance ❑ Inspecto . <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> r <br /> SUPERVISOR/ LEAD SENIOR Approval: i-� Date: <br /> OA 11 Check Off List: Prooi4ead Report? Correct LAND USE# <br /> Correct CONDITION(S)? _ Logged.in LAND USE Book? <br /> 11 w,06 Report 87201 September 17,201: <br />