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t <br /> NOTE: PULL ALt�=RMITS (Septic, Well, etc.) MAK[' PIES FOR FILE <br /> LAND USE REPORT Y RECOR D: SU0007119 <br /> DATE RECEIVED by EHD: April 08, 2008 APPL#: PA-0800114 <br /> Referral Agency STAFF CONTACT: VMWD <br /> PE: 2690 <br /> LOT LINA:ADJUSTMENT(LA.) <br /> COMPLETE& SUBMIT BY. <br /> Assigned to: EE0005366 MEDINA <br /> SITE ADDRESS: 6030 E KETTLEMAN LN, LODI APN : 0610580069 10 <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:- �y� _ Public Sewer: <br /> Name of urveyor Nan„,of System <br /> 11 <br /> NOTE: <br /> 26 2-'0 <br /> Applicant shall submit a revised site map noting the location of the septic leach field; <br /> verifying that the existing leach Iines andseepage pits do not cross over proposed Parcels <br /> 41 and #2 property lines per San Joaquin County Onsite Wastewater Disposal Standards <br /> (San Joaquin County Ordinance Code Section 9-110.5). <br /> I recommen A�prova$- 13er%lal —�oinuaince �nspe lor: - -- <br /> Signatur <br /> Supervisor/Lead Senior COMMENTS: <br /> 42 <br /> - J <br /> f <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> Q.4°N Gheck Cuff Li nt yroofread jft, art Correct 1 AND 11 E#7 <br /> - Co rect COMITWN(S) �, � � Logged in LAND LISI>Baok?� � ��� <br /> EH 06 06 Report 47201 April 09,2008 <br />