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NOTE: PULL ALLi--,dRMITS (Septic, Well, etc.) MAKEyAPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004786 <br /> DATE RECEIVED by EHD: January 18,2005 APPL#: PA-05-11 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, February 4, 2005 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 3966 E SCOTTSDALE RD,LODI APN: 05812004 <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 /> dj ✓ v, <br /> 41' c51c <br /> I recommend: Approval Denial El Continuance In pecto <br /> Siga tore <br /> Supervisor/Lead Senior COMMENTS: <br /> 0 <br /> . d <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? v Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 5 January 21,2005 <br />