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1 <br /> NOTE: PULL AL- ERMITS (Septic, Well, etc.) IMAKh 40PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007906 <br /> DATE RECEIVED by EHD: September 11,2009 APPL#: PA-0900208 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: A S A R.RY-n <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 1.8298 N CHERRY RD, LODI APN : 05102010 12 <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: ApprovalDenial Continuance Inspecto . — -�-� <br /> El <br /> I Signature <br /> Supervisor/Lead Senior COMNIRNTS: . <br /> SUPERVISOR/LEAD SENIOR Approval: Date: f �� <br /> OA►!Check Off List.' _ Proofread Report?��:_ Correct LAND USE.#? <br /> U <br /> CorreCt GCNDITT(lN(S) Logged in Lt ND USE Book? <br /> EH 06 06 Report 47201 September 11,2009 <br />