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NOTE. PULL AL 'RMITS (Septic, Well, etc.) MAKE PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007171 <br /> DATE RECEIVED by EHD: May 05,2008 APDL#: PA-0800150 <br /> Referral Agency STAFF CONTACT: EVA PAGE PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: A S A <br /> P. I- Assigned to : LE0005366 MEDINA <br /> ow MSITE ADDRESS: 20261 N RAY RD, LODI APN : 01117005 07 08 <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: ef2y� Public Sewer: ef222Z <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: a� <br /> s <br /> I recommend, Approval 2--Denial F] Continuance I ector: <br /> Si nature <br /> Supervisor/Lead Senior COMMENTS: <br /> a " <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> is heck Off W* I rp at1 Keport? Correct NDJ U SE ? <br /> ' oxrect - �IT ] T(S) �n L Book <br /> _ <br /> .. <br /> v <br /> EH 06 06 Report 47201 May 06,2008 <br />