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.r <br /> NOTE: PULL ALL t...:RMITS (Septic, Well, etc.) MAKE Jt� IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006288 <br /> DATE RECEIVED by EHD: October 03,2006 APPL#: PA-0600533 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: ASA PAY <br /> Assigned to : EE0445944 ESCOTTO <br /> SITE ADDRESS: 3215 W KINGDON RD, LODI APN: 05525005 22 23 <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 /> SUMMARY OR COMMENTS: <br /> I recommend: Approval 1Z Denial ❑ Continuance Inspector: <br /> Signature <br />�upervisor/Lead Senior COMMENTS <br /> Iry <br /> SUPERVISOR/LEAD SENIO�Y,R.� Approval: Date: �U ro 46 <br /> C3Cd0N'! 20 <br /> 00, k r t�4 t OrleGt 1 : ? x x <br /> z orrectC()NDI�I ,Sg ed'"zea=T ANDSEp< � .' � <br />_H 06 06 Report#7201 October 03,2006 <br />