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NOTE: PULL ALL PERMITS (Septic,'Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008243 <br /> DATE RECEIVED by EHD: May 07,2010 APPL#: PA-1000097 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2690 <br /> COMPLETE &SUBMIT BY:AqAP-R1;.'- <br /> LOT LAVE ADJUSTMENT(LA) <br /> t Assigned to : LE0005366 MEDINA <br /> SITE ADDRESS: 6454 W TURNER RD, LODI APN : 02511004 09 <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:_ Public Sewer: 112-11 � <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 5 <br /> I recommend: Approval enial Continuance Ins ector• <br /> Su�ervisor/Lead Senior COMMENTS.• Sign tune <br /> SUPERVISOR/LEAD SENIOR Approval <br /> oa`rr Check a Lystva� pl bofit>ad Relsprt? :r 6 . <br /> :, � � orxect L IS) f <br /> EH 06 06 Report#7201 <br /> May 10,2010 <br />