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NOTE: PULL ALL RMITS jSeptic, L:'e31, etc. NIAK PEESFOR FILE <br /> LAND USE REPORT RECORD ID: SU0006907 <br /> DATE RECEIVED by EHD: December 24,2007 APPL#: PA-0700587 <br /> Referral Agency STAFF CONTACT: PATRICK CROSBY PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE & SUBMIT BY: Tue, January 8, 2008 <br /> Assigned to - E1;0005366 MEDINA <br /> SITE ADDRESS: 5525 W TURNER RD, LODI APN : 0I116020 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e., sewage dispgsal, 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 /> / G <br /> I recommend: Approval171— Denial F-1 Continuance Inspector: <br /> S'gnature ` <br /> Supervisor/Lead Senior COMMENTS: <br /> S� <br /> Al ' tI a <br /> �0'-'Cd <br /> fJ O .1 `ZUO 0-2— <br /> �� v -#o A <br /> WCL5 C41 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> �OA_l!Check aff�Lisf: Proofread Fieport� ,;, ,.' tfirr�c�I.A�II7 LSF#? ' ' <br /> .`' ""I =s �� Cgrrect.CflNDI£I N(S)? _Y sagged tri L ANA ISEaBool? <br /> 1 <br /> .. .......... <br /> =ri 06 06 lfep t 07201 <br /> December 26,2007 <br />