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Nf1TE: PULL ALL—RMITS (Septic, Well, etc.) MAKE .- PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006578 <br /> DATE RECEIVED by ERD: May 18,2007 APPL#: PA-0700226 <br /> Referral Agency STAFF CONTACT: CHANDLER MARTIN PE : 2637 <br /> SPECIAL PURPOSE PLAN(PP) <br /> COMPLETE& SUBMIT BY: Wed, May 30, 2007 <br /> Assigned to : EE0005366 MEDWA <br /> SITE ADDRESS: I-5 & HWY 12 , LODI APN : 05515003 04 25 <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 /> 3ensity, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: /k� >` <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> [ recommend: Approval EJ—Denial Continuance Ins t <br /> Sig tore <br /> iuvervisor/Lead Senior COMMENTS: <br /> APLRVItiOIt/ LEAD S13N1O2 Approval Date: <br /> OA It Check Off List. Proofread Report? Correct LAND USE 49 <br /> Correct CON DITION(S)? Logged in LAND USE I13ook? <br /> :H 0606 Report#7201 <br />