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1 r <br /> NOTE: PULL ALL`,:RMITS (Septic, Well, etc.) MAKE %„iP1ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006399 <br /> DATE RECEIVED by EHD: January 16,2007 APPL#: PA-0600679 <br /> Referral Agency STAFF CONTACT: CORINNE BOGGS PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, January 30, 2007 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 7500 W KILE RD,LODI APN : 00118012 13 <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: '-t;u a- Public Sewer: rg�� <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> oy <br /> o� nr. <br /> I recommend: Approval �— Denial Continuance Inspector: '' <br /> Signature <br /> Su ervisor/Lead Senior COMMENTS: <br /> 02 <br /> `F 1 ►'�3 L� <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> EH 06 06 Report 97201 January 17,2007 <br />