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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013199 <br /> DATE RECEIVED by EHD: April 17,2020 APPL#: PA-2000023 <br /> Referral Agency STAFF CONTACP. STEPHANIE STOWERS PE : 2620 <br /> DEVELOPMENT AGREEMENT(DA) <br /> COMPLETE& SUBMIT BY: Thu, May 14, 2020 <br /> Assigned to: EE0000418 KITH <br /> SITE ADDRESS: 10400 E HWY 12 , LODI APN : 05112088 <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: <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> [_QA1l Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 April 28,2020 <br />