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NOTE: NULL ALL ..2RMITS (Septic, Well, etc.) MAKE'viF1E3 FORFILE <br /> LAND USE REPORT RECORD ID: SU0005973 <br /> DATE RECEIVED by EHD: March 21,2006 APPL#: PA-0600141 <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, April 4, 2006��. <br /> . . Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 16220 E BRANDT RD, LODI t APN : 05310010 <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: Z20 Public Sewer: � a <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br />,I recommend: Approval Denial ❑ Continuance ❑ Inspe <br /> S nature <br /> Supervisor/Lead SeniorCOMMENTS: <br /> Pr <br /> Gcn <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> k - <br /> I� k�4ff List• •� • . . p , <br /> iH 06 06 Report 47201 March 21,2006 <br />