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�T S <br /> NOTE: PULL ALLt RMITS (Septic, Well, etc.) MAKE`.�PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006337 <br /> DATE RECEIVED by EHD: December 05,2006 APPL#: PA-0600483 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: Tue, December 19, 2006 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 16560 N HWY 88 , LODI APN : 05125053 <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 i <br /> Y <br /> 'SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance F-1 ns r: -�-� <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 4t'U <br /> i� <br /> SUPERVISOR/LEAD SENIOR Approval: r Date: v <br /> ,. .. _... ._ .. . T.- <br /> .�OA ck Ofif Lfs <br /> MRp <br /> EH 06 06 Report 47201 December 06,20P <br /> i <br />