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NOTE: PULL ALI�ERMITS (Septic, Well, etc.) MAKElPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007974 <br /> DATE RECEIVED by EHD: November 05,2009 APPL#: PA-0900267 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, December 8, 2009 <br /> Assigned to : EE4005366 MEDINA <br /> SITE ADDRESS: 6011 E PINE ST, LODI APN: 04912065 <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: � A <br /> Name of Purveyor Name of System <br /> SUMMARY OrRICOMMENTS: <br /> dY <br /> aa. 07 <br /> loa. of <br /> I recommend: Approval enial ❑ Continuance ❑ Inspec <br /> �Sigture <br /> Supervisor/Lead Senior COMMENTS: <br /> V� i <br /> , <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OAI Check OffLrst Proofread IteparCi (;orrect LAND USE#1 7 <br /> Lc gge �n LANOSE Book? <br /> EH 06 06 Report#7201 November 06,2009 <br />