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NOTE: PULL AL "E�RMITS (Septic, Well, etc.) MAK OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007429 <br /> DATE RECEIVED by EHD: October 17,2008 APPL 4: PA-0800320 <br /> Referral Agency STAFF CONTACT: EVA PAGE PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: AS=AK B, I <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 7848 E KETTLEMAN LN, LODI APN : 06113324 <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: Z2� _ Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance Inspect0 . <br /> gnature <br /> SupervisorfLead Senior COMMENTS: <br /> r <br /> SUPERVISOR/LEAD SENIOR Approval: Date: /Z) 2i <br /> iron Re ort <br /> �OA�It�Chb k©fftt etMAfiIDUS, <br /> orreet C NDITID2�T 5 2 � g �n LAND USE Sool4� <br /> EH 06 06 Report##7201 October 20,2009 <br />