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NOTE. PULL ALL, <br /> ---,;RMITS (Septic, Well, etc.) MAKE.__-)PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005981 <br /> DATE RECEIVED by EHD: March 27,2006 APPL#: PA-0600158 <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE : 2690 <br /> AbAF-V: LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 16791 E BRANDT RD, LODI APN: 01914002 <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: M� Public Sewer: 1'-20pP <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTSs <br /> — - - <br /> - - -- •f/�i�/i���� ,� �,-��,G,,.., �,;,.�� 7_ !�P/� ,C�i//r�r� .iia L <br /> I recommend: Approval Denial Continuance Ins p ctor- <br /> Si store <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR I LEAD SENIOR Approval: Date: <br /> A Off L.is T <br /> PrdOfrea3Le�r1,110 MCorract 1 <br /> eetI E"" <br /> orr % <br /> pied in l ND�US <br /> 9H 06 06 Report#7201 March 27,2006 <br /> F <br />