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NOTE: PULL ALt—,cRMITS (Septic, Well, etc.) MAKE.. SPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007240 <br /> DATE RECEIVED by EHD: June 20,2008 APPL#: PA-0700534 <br /> Referral Agency STAFF CONTACT: PATRICK CROSBY PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE & SUBMIT BY: Tue, July 8, 2008 <br /> Assigned to : EE0005366 111EDINA <br /> SITE ADDRESS: 15709 N TRETHEWAY RD, LODI APN : 051-200-33 <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: 1-21� Public Sewer: azo <br /> Name of Pttrveyor Name of System <br /> SUMMARY OR COMMENTS: C� / <br /> 04 <br /> 11:11 (b) Insert Date 10/31/2007. Prior to Final Map Recordation; Certificate of <br /> Compliance. <br /> 11:06 <br /> 22:02 Prior to Final Map Recordation; Certificate of Compliance <br /> 22:01 <br /> 22:03 <br /> 22:05 (a) <br /> (b) Insert "Install a chlorinating plug for the domestic well located on Parcel One". <br /> 11:03 (a) <br /> I recommenu: Approval::] Menial U Continuance U Inspector. <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> 0y, <br /> 0 69 IP13 O 7LJ 62 <br /> I <br /> I cl {4-,. (�. � - Ct/ (-.cLd1 Q Z ni n Cul-1 L !r;;' 'Le <br /> D t II �N <br /> 2 2: 03 <br /> <,b) I i,�.►� ( TLQ� <br /> Il ° 0�1 l n <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA I!Check Off List: Proofread Report'?__ Correct LAND USE#? <br /> Correct CONDi,riON(S)? Logged in LAND USE Book? <br /> F11 06 06 Report t�7Z11I June 20,2008 <br />