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NOTJ: PULL ALL PERI IIS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LA1�TD USE REPORT <br /> APP#: PA-04-18 LA) Rev.Project Desc. <br /> EHD RECEIVED APP.REFERRAL: 2/10L04 COMPLETE & SUBMIT By. ASAP 2-16-04 <br /> DATE <br /> DATE <br /> ATTN: <br /> SITE ADDRESS: 16051 NORTH TULLY ROAD LODI <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw a completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments- <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> jor <br /> EH 06 06 Rev 1199 <br />