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NOTE: PULL ALL WITS (Septic, Well, etc.) MAKE t.AES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006617 <br /> DATE RECEIVED by EHD: July 03,2007 APPL#: PA-0700302 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2690 <br /> A% <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: R wa <br /> /.� Assigned to : EE0005944 ESCOTTO <br /> i. will <br /> SITE ADDRESS: 11130 N HWY 99 , LODI APN : 05926058 <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 OR COMMENTS: <br /> Ti/ //'oZzezJrr Lkr2 /piss � i7a'Ls i�n�,HL�/1ia�r<s7�t��v7�i��1� v <br /> I recommend: Approval ,i Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: 7 <br /> cH 06 06 Report#7201 July 05,2007 <br />