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i NOTE: PULL ALL I,—.IMITS (Septic, Well, etc.) MAKE Com,, 1ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006683 <br /> DATE RECEIVED by EHD: August 13,2007 APPL#: PA-0700369 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE & SUBMIT BY: Tue, September 4, 2007 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 14800 N STAR ST, LODI APN : 05532059 <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 /> Nance of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 5 <br /> 7e� <br /> -S <br /> Com' 6' <br /> recommend: Ajpproval Denial Continuance Inspector <br /> Signature <br /> cryisor/Lead Senior COMMENTS: <br /> -ft <br /> 0- 0: C' 57b .. <br /> I <br /> SUPERVISOR/LEAD SENIOR Approval: - - - - --' Date: 7 1. <br /> OA 11 Check Off List: Proofread Report? ('oncct LAND USE jr '? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 August 14,2007 <br />