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r <br /> NOTE: PULL ALL i1—AMITS (Septic, Well, etc.) MAKE CIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005709 <br /> DATE RECEIVED by EHD: October 18,2005 APPL.#: PA-0500654 <br /> �1 <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO PE : 2690 <br /> �p LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: ■ 10 <br /> I —TT Assigned to EE0005366 MEDINA <br /> SITE ADDRESS: 1066 W LUCAS RD, LODI APN : 01504038 <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: ff�`0 . . Public Sewer: dfF252a� <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> �1 <br /> I recommend: Approva Denial El Continuance Ins ector: <br /> Si ature <br /> Supervisor/Lead Senior COMMENTS: <br /> LIZ bG ! w I <br /> rA� J/, �/ ' ,Q/J7 r1v <br /> d <br /> SUPERVISOR/LEAD SENIOR Approval.: Date:.- CJ 16 L) <br /> OA!!Check Off List: Proofread,Report? Correct LAND USE#:? <br /> Correct CONDITION S Lo <br /> ,_ gge4.fin,LAND USE Book? <br /> EH 06 06 Report#7201 <br /> October 19,2005 <br />