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NOTE: PULL AL RMITS (Septic, Well, etc.) MAK�PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007614 <br /> DATE RECEIVED by EHD: February 27,2009 APPL#: PA-0900035 <br /> Referral Agency STAFF CONTACT: PATRICK CROSBY PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, March 17, 2009 <br /> Assigned to: EE0005366 MEDINA <br /> SITE ADDRESS: 16200 E BRANDT RD, LODI APN : 05310005 <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 /> Nam of Purveyor Name of System <br /> SUMMARY OR COMMENTS: �E/a��l <br /> �f <br /> a <br /> I recommend: Approval Denial Continuance Ins ector• <br /> Sig ture <br /> Supervisor/Lead Senior COMMENTS: <br /> I Ap <br /> ` <br /> AA <br /> i <br /> SUPERVISOR/LEAD SENIOR Approval: ate: <br /> -> 77 I'rctofreac#Repo _ Co€reet AN[ USE# <br /> Q:A II cheek tiff�.:ist <br /> . _ rectCf73DOT1i�N(5)? _. L.oggedn3LA1�3iEo1.� . '. <br /> EH 06 06 Report#7201 February 27,2009 <br />