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NOTE: PULL ALL RMITS (Septic, Well, etc.) MAKE i.�..�IES F <br /> ' OR FILE <br /> LAND USE REPORT RECORD ID: SU0006049 <br /> DATE RECEIVED by EHD: May 16,2006 APPL#: PA-0600261 <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE : 2690 <br /> COMPLETE&SUBMIT BY: LOT LINE ADJUSTMENT(LA) <br /> Ko <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 6611 E HAIGHT RD, LODI <br /> APN : 06115016 17 1S <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 /> glZll;s <br /> I recommend: Approval Denial Continuance Inspector: <br /> Supervisor/Lead Senior COMMENTS: Signature <br /> I <br /> 1 <br /> I <br /> a <br /> SUPERVISOR/LEAD SENIOR Approval: Date: Z <br />:H 06 06 Report#7201 <br /> May 17,2006 <br />