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NOTE: PULL ALL,.:RMITS (Septic, Well, etc.) MAKE,.)PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005979 <br /> DATE RECEIVED by EHD: March 27,2006 APPL#: PA-0600152 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2690 <br /> /!� w LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: A- <br /> / An y <br /> ~1 If Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 12112 N MUNDY LN,LODI ! APN : 06112025 43 <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: N 1} Public Sewer: to 1 R <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> /:/a - pr" ' �-p ; pt"'A DY ��vYG� U� Cil_WYJ..i A��l�ccey✓ Liu</ <br /> " Or �Z_ <br /> l �cnr:� �...:+ sz stZee46za 1 <br /> I recommend: Approval Denial F-1 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 3 , 4SLnG=rs✓, r7 0ee v� <br /> / • c <br /> 117 <br /> cif � <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> EH 06 06 Report#7201 March 27,2006 <br />