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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013037 <br /> DATE RECEIVED by EHD: February 18,2020 APPL#: PA-1900214 <br /> Referral Agency STAFF CONTACT. RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Thu, March 12, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 9150 E HWY 12 , LODI APN: 05112048 <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: W I-Ad 12 Z Public Sewer: JAN& <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> N p ZZJ K k( e SGC.Pr r SON <br /> t%tn/ 5 P L.44V l i-i o ws ;LI A r- V ���f+�w r---L,49 f�rL� <br /> P,E <br /> L'Pr C.Ex"'T--N 1- Fac P 04 6 191 G" fo cS"rV-L-- wT-W-- P <br /> ig 4 L&c-c&D611 J---rM Pl,Q;r-G POA-,D TZ F s <br /> I recommend: Approval C& Denial ❑ Continuance Inspector: <br /> _ A17M <br /> Mu- <br /> re-'-Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> [_QAH h k Off List: Proofread Report? Correct LAND USE#'? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 February 21,2020 <br />