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NOTE: PULL A HERMITS (Septic, Well, etc.) MAK OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006923 I` <br /> DATE RECEIVED by EHD: January 25,2008 APPL#: PA-0800019 <br /> Referral Agency STAFF CONTACT: EVA PAGE PE : 2694 <br /> COMPLETE& SUBMIT BY: <br /> LOT LINE ADJUSTMENT(LA) <br /> ASARRin <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 11052 E HWY 12 , LODI APN : 05114007 <br /> 3n 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 /> I recommend: ApprovalVenial Continuance ❑ Inspector: <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: 2j <br /> A Ilhc/cP tiff L1t` `Proofread Repdrt� btrer LrNI <br /> �.�pgea��A�irl�SE B"�iv1c�` <br /> EH 06 06 Report 9720E January 25,2008 <br />