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{ <br /> NOTE: PULL ALL 6.AMITS (Septic, Well, etc.) MAKE DIES FOR FILE <br /> LAND USE REPORT RECORD Ill: SU0007291 <br /> DATE RECEIVED by EHD: July 22,2008 APPL#: PA-0800204 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE &SUBMIT BY: Wed, July 30, 2008 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 16475 N LOCUST TREE RD,LODI APN : 05113075 <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 /> 11111111110w R, N,me of Q- <br /> 04 -_ <br /> 22:02 Prior to Issuance of Building Permits <br /> 11:05 Delete parishoners <br /> 131IM1-A separate septic system shall be installed with a minimum of three hundred and <br /> twenty-six (326) lineal feet of leach line under a sanitation permit and inspection <br /> by the Environmental Health Department prior to occupancy. (San Joaquin <br /> County Development Title, Section 9-1110.3 and 9.1110.4). <br /> e e 1rs sen enc , <br /> 0aa+2— ...... <br /> I recommend: Approval _ _,TL Continuance ins co <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> G <br /> Z d <br /> kwY� <br /> G / <br /> A <br /> StIPERVISOI2 / LC.4U SENIOR Approval Date: <br /> OA II Check Off List: Proofread Report' Correct LAND USE ft ') <br /> Corrm CONDITION(S)? Logged in LAND USE Book?; <br /> EH 06 06 Report 47201 2.. <br />