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NOTE: PULL AL f •RMITS (Septic,'Well, etc-) MAKE PIES FOR FILE <br /> RECORD ID: SU0007117 <br /> LANL1 USE REPORT <br /> DATE RECEIVED by EHD: April 08,2008 <br /> APPL#: PA-0800109 <br /> PE : 2690 <br /> Referral Agency STAFF CONTACT: EV E LOT LINE ADJUSTMENT(LA) <br /> COMPLETE & SUBMIT BY: Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 11988 N MICKE GROVE RD, LODI <br /> APN : 05910028 <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 /> SUM MARY OR COMMENTS: <br /> • C /e5 f/ L� <br /> � .✓� .� sZ�✓C.� �7iG o�'I e,�fG .s <br /> 41 <br /> y � <br /> _,Oro <br /> I recommend: Approval Denial Continuance Inspecto - , <br /> Signature <br /> Supervisor/Lead Senior COMMENTS_ <br /> .�0 8 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: +� <br /> CfRI!1l hecR t-Is# ` PM777 �ofre Cl Reports x Cortect LAN7-7 <br /> A USE <br /> T d� 1iI�iD SSE Bbnk� . <br /> Correct CONI TTION(S)ry <br /> EH 06 06 Report 47201 April 09,2008 <br />