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NOTE: PULL ALL RMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> RECORD ID: SU0006530 <br /> LAND USE REPORT <br /> DATE RECEIVED by EHD: April 19,2007 <br /> APPL#: UP-990014 <br /> PE : 2656 <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO REVISIONS TO ACTIONS (RAf <br /> COMPLETE& SUBMIT BY: Tue, April 17, 2007 Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 11451 N WEST LANE , LODI APN : 05907001 <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: NPublic Sewer: <br /> ame of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 7 LlE+!9LJ/•t� lr �LC,v,.J ,Lai�r�f%T�ocJ.�aL u6E 9� ZE�,F-SLt tY�U7 <br /> 1���7'I T-3ea5�15�i=/,�l�.i�= a/��I_!1 r�Ylls C�'�zCCet.�df,r'�/��ce���-�•�rtrK7 ��CS) <br /> /Nl+l �c�w/�1'�scY�61 � 5d�itc� l7� T/ 17 �7�cc u1 iAL 17 <br /> Cs�,stisGiG��o,�rat-/}{�� S�l�t�-�Z¢a�*7�v7��y s•7�t'C,� <br /> ( recommend: Approval 0 Denial ❑ Continuance Inspector: �J <br /> Sig ature <br /> 3uoervisor/Lead Senior COMMENTS: <br /> Dail - <br /> ,UPERVISOR/LEAD SENIOR Approval: 2 Date: <br /> OA 11 Check ON List: Proofread Report? `- Correct LAND USF#? - - - - <br /> -� Ca!rec:C()NDITTON(S')? '" Logged in LAND USE Bock'? <br />