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NOTE; PULL ALL k `1MITS (Septic, Well, etc.) MAKE l_JIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005883 <br /> DATE RECEIVED by EHD:`January 17,2006 ADPL#: PA=0500$63 <br /> Referral Agency STAFF CONTACT: A AqNwnEnhPE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BY: momr—DT . <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 12355 W ST RT 12 , LODI APN : 02504006,0 <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 /> _ 0 <br /> I recommend: Approval Denial Continuance Insp p� <br /> Sit re <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: d� <br /> .. <br /> o � . x.., - <br /> ms <br /> EH 06 06 Report 47201 January 18,2006 <br />