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NOTE: PULL Al� 'ERMITS (Septic, Well, etc.) MAK.,�OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006975 <br /> DATE RECEIVED by EHD: March 06,2008 APPL#: PA-0600457�TE <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, April 1, 2008 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 17310 N TULLY RD,LODI APN : 05307003 <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: ���i� Public Sewer: ��`� <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> �a <br /> I recommend: Approval Denial Continuance Inspec <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> 12 <br /> r-- / <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA if Check Off List: Proofread Report`:' Correct LAND USE 4? <br /> Correct CONDITIONS)? I.ogg<ed in LAND L!SI:;Book? <br /> EH 06 06 Report#7201 March 07,2008 <br />