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y_ 1 <br /> NOTE: PULL AL ERMITS (Septic, Well, etc.) MAI("PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007763 <br /> DATE RECEIVED by EHD: June 12,2009 APPL#: PA-0900094 <br /> Referral Agency STAFF CONTACT: MO HATEF PE :" <br /> 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE & SUBMIT BY: Wed, July 1, 2009 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 18949 N ATKINS RD, LODI APN : -01914040 <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, ori 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 /> moi.•o,�— •C�/� i���s-�f.� <br /> Freeomn <br /> dCR <br /> end: Approval vial Continuance InspeSiupervsor/Lead Senior COMMENTS: <br /> moa.• d <br /> zo :o'r <br /> c �2 �O & - s <br /> !I 4) sus �v4S r� <br /> ���•�o � _ ��,� ;mss f �.. �� .._,_,._. <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> C)A?1 C1 et f ff C ProofreOd 96pnrt' PnNC'ortec ", I3IT51 <br /> .. kc <br /> �tCQND1 1 5}? _ .: "� Logged in LAND USE,Book , <br /> EH 06 06 Report#7201 June E5,2009 <br />