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r` NOTE: PULL AL"RMITS (Septic, Well, etc.) MAK PIES FOR FILE <br /> LAND USE REPORT RECORD ID:. SU0007830 <br /> DATE RECEIVED by EHD: July 17,2009 APPL#: PA-0900365 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Tue, August 4, 2009 <br /> Assigned to: EE0005366 MEDINA <br /> SITE ADDRESS: 10726 E HARNEY LN, LODI APN : 06318001 <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: <br /> aa. � <br /> I recommend: ApprovalEIenial Continuance Inspector: <br /> iguature <br /> Supervisor/Lead Senior COMMENTS: <br /> 0 3 <br /> t <br /> C) <br /> z - o � <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> w I'r660641'Rcport acre t. <br /> DA III irt�eclk Off Lrsf �, � -�.�- .� <br /> m <br /> rrect NT 1 13�S) ;. agg d�n.t,AN <br /> EH 06 06 Report#7201 July 17,2009 <br />