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s' <br /> NOTE: PULL ALL 1.AZMITS (Septic, Well, etc.) MAKE 6�PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004604 <br /> DATE RECEIVED by ERD: August 11,2004 APPL#: PA-04-447 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: AbAN a O <br /> Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 90 W TURNER RD,LODI APN : 02902019 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e., sewage disposal, wat <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing populatio <br /> density, location of house, wind direction, etc.... a r, yi <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> ov it <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: Z / <br /> OA 11 Check ON List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? ......,.,.. <br /> EH 06 06 Report H7201 Page 3 August 13,2004 <br />