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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004940 <br /> DATE RECEIVED by EHD: March 23,2005 APPL#: PA-05-102 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, April 5, 2005 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 411 W LUCAS RD, LODI APN : 01504049,50,& <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 ORCOMMENTS: <br /> y <br /> Oy <br /> I recommend: Approval R-�Denial El Continuance El Inspee6= <br /> Signature <br /> Sunervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: f , t-, Date: J— <br /> OA <br /> OA 11 Check OH List. Proofread Report? a Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 1 March 24,2005 <br />