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f <br /> NOTE: PULL AL6ERMITS (Septic, Well, etc.) MAKE._COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005030 <br /> DATE RECEIVED by EHD: May 10,2005 APPL#: PA-0500234 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> - COMPLETE&SUBMIT BY: <br /> Assigned to • EE0005366 MEDINA <br /> SITE ADDRESS: 10184 E ST RT 12 HWY, LODI APN : 01512032,& <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: /npa <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> rC.<� fA- `�� �-.�- d�-�. c�-!�/�c-� �`.Y1,�;/}- C-•2-Cl G.�?.�' ��z�r-� i <br /> P�.r^���"•�""a �Z2 ,G7 rY' �',/.��' �� �� c�'�ar—lid [,��, '�� �7�iC �/ <br /> i <br /> I recommend: Approva Denial ❑ Continuance Inspect <br /> Signat re <br /> Suoervisor/Lead Senior COMMENTS: ✓ <br /> 7 �/ em 44& <br /> } <br /> Y <br /> w r <br /> �. <br /> i r wgdAl <br /> ol., ov. <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA B Check Off List: proofread Report? r Correct LAND USE#? <br /> Correct CONDITIONS)? Logged in LAND USE Book? <br /> F <br /> EH 06 06 Report#7201 May 13,2005 <br /> k <br />