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NOTE: PULL AL -ERMITS (Septic, Well, etc.) MAK.,.,:OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007559 <br /> DATE RECEIVED by EHD: January 30,2009 APPL#: PA-0900009 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Wed, February 11, 2009 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 5852 W TURNER RD, LODI APN : 02512001' <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: yb �j4 Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> the EHD to amend the existing permit to operate the wa <br /> system; to address any new water distribution lines and additional water demands to <br /> serve the new buildings. Contact Adrienne Ellsaesser, Lean Senior Registered <br /> Environmental Health Specialist, at (209) 468-0343 for assistance. <br /> Approved by ASE 2/11/09 <br /> I recommend: Approv Denial Continuance nspec <br /> S gnature <br /> Supervisor/Lead Senior COMMENTS: <br /> SC PF.RV'ISOR ! LOAD SENIOR Approval: - Dnl( � <br /> OA N Check Off List., Proofread ReporU_ Correct LAND USE <br /> Correct CONDITION(S).' Logged in LAND USI. Book? <br /> January 30,2009 <br />