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NOTE: PULL ##,ri.-RMITS (Septic, Well, etc.) MAKE.., )PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007118 <br /> DATE RECEIVED by EHD: April 08,2008 APPL#: PA-0800119 <br /> Referral Agency STAFF CONTACT: EVA PAGE PE : 2690 <br /> LOT LINE ADJUSTMENT(L-1) <br /> COMPLETE & SUBMIT BY:ASAP-BY.' <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 15301 N-TRETHEWAY RD, LODI APN : 05120028 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e., sewage disposai, 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: y <br /> Name of Purveyor Name of Svstem <br /> SUMMARY OR COMMENTS: <br /> 06 <br /> NOTE: The domestic water well located on Parcel Number Two provides <br /> domestic water to a residence on Parcel Number One. The provision <br /> of domestic water to a separate recorded parcel is an existing, <br /> nonconforming condition. <br /> I recommend: Approval Denial F-1 Continuance ❑ Inspe tor: <br /> 11 <br /> Sign hn-e <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR ApproN al: / Date: - <br /> OA l/Check Off List Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> kr� rt April 09,2008 <br />