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NOTE: PULL ALL ERMITS (Septic, Well, etc.) MAKE t PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004496 <br /> DATE RECEIVED by EHD: June 01,2004 APPL#: PA-04-267 L/ <br /> Referral Agency STAFF CONTACT: LEANNE MUELLER PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, June 15, 2004 Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 12420 E TOKAY COLONY RD, LODI APN : 06322031 <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 /> 4 <br /> �a-ba <br /> �a �/ /�'✓�.�-!! -��.�/ � ✓r.�,��/- „-->!� � .lam c� �rc.� �J)--. ���j/�Y <br /> I recommend: Approval Denial Continuance I specto <br /> gnature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE 4? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 1 June 01,2004 <br />