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NOTE: PULL ALL'%P�RMITS (Septic, Well, etc.) MAKE, +OP1ES FOR FILE <br /> RECORD ID: S00005085 <br /> LAND USE REPORT <br /> DATE RECEIVED by EHD: June 03,2005 APPL#: PA-0500331 <br /> 2690 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : LOT <br /> sI LOT LINE ADJUSTMENT(LA) <br /> COMPLETE & SUBMIT BY: b�3 l��r M <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 11250 N HAM LN, LODI APN : 05918007 <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: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS:��j��� <br /> //- 06 <br /> 6t_ <br /> I recommend: Approva Denial D Continuance [:] Inspec —« <br /> Sign lure, - <br /> Suoervisor/Lead Senior COMMENTS: <br /> A 11 ' 06 � <br /> a <br /> a ;o <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: <br /> OA II Check Off List: Proofread Report? Correct LAND USE#? - <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> Ell 06 06 Report#7201 June 08,2005 <br />