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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> ND USE REPORT RECORD ID: S00006531 <br /> DATE RECEIVED by EHD: April 24,2007 APPL#: PA-0700191 <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, May 8, 2007 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 11451 N WEST LANE , LODI APN : 05907001 <br /> n 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: /L4' Public Sewer: <br /> Name of Purveyor Name of System <br /> iUMMARY OR COMMENTS: <br /> �Sif 1r/&�4ZXg <br /> 171s7d��'�.�if�zc�s,�-s.�,c�c��,�✓�'s�-�� ��p18 a9���1 <br /> �)l"Y/rJ�-`�✓C6 /���r,�7�f�1`� cLniiy7ct:✓/dC-«?7f�2 �r�uGy / �ft3. lid-/�i«c7t� A <br /> �5.5�/z./G�r�i2��5 SGI�.�'7�i�7 SC✓c, ��i7?i3rua5�SZ/.+%7y��J�I2r7G�/e�nYyici6 TT�'s�Y <br /> recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> lupervisor/Lead Senior COMMENTS: <br /> � �f � SGL ♦ r' ru_ f r_ ,y' '�. <br /> C Grr L Dt�rt t-q ,L J C�7mn 49 ,5k2 �IYs� <br /> WWF YYl uo � �1 � sty <br /> S ✓t anadi api'l lid <br /> ERE <br /> /LEAD SENIOR Approval: Date: / C <br /> 11 Check ONList Proofread Report? Correct LAND USE k? <br /> Correct CON DITION(S)9 Logged in LAND USE Book? <br /> H 06 06 Report#7201 <br /> April 24,2007 <br />