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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00010762 <br /> DATE RECEIVED by EHD: February 0l,2016 APPL#: PA-1600014 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> CC'&BY: Fri, February 5, 2016 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 12070 N TULLY RD, LODI APN : 06504015 <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: / ez--=A : alz 0) k 7— �zS624,dv- A�qji7 <br /> - ln*✓ fie' !�//7s1 �► 4��ia c�f7��i_¢ 4 .�1 <br /> AtneL /utas/A56WZ«sr � i a�/jlisLii <br /> D) G� - 7 �h1� �dhs .ce�c�(yiz zo 1.nsr �c1�isz��z� <br /> I recommend: Approval Denial Continuance Inspector: — <br /> Signature <br /> Sunervisor/Lead Senior,COMMENTS: <br /> 9 <br /> DW <br /> C- <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List, Proofread Report'? Corredt LANt?USE#? <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 February 01,2016 <br />