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NOTE: PULL ALL RMITS (Septic, Well, etc.) MAKE PIES FOR FILE ' <br /> LAND USE REPORT RECORD ID: 500007737 <br /> DATE RECEIVED by EHD: May 22,2009 APPL#: PA-0900124 <br /> Referral Agency STAFF CONTACT: MO HATEF PE ; 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, June 76, 2009 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 10549 N JACK TONE RD,LODI APN : 06321022,2 <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: 1170-1yPublicSewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> n <br /> <t <br /> I recommend: ApprovalEF Denial Continuance F-1 Inspec <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 42 <br /> 20 Cp <br /> 1 1 C� 7uz ce,Q <br /> t 03 ss� - <br /> F a -2 <br /> PERVISOR/ LEAD SENIOR Approval: r-- ��� Date <br /> -0A 11 Check Off List: Proofread Repprt? Correct LAND>>SES O; 9 — <br /> Correct CONDITION(S)7 Logged in LAND USE Book? <br /> Eli Pn Ob Kcpun'%`ql <br /> May 22,2005 <br />