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NOTE: PULL ALL PEKMITS (Septic, Well, etc.) MAKE CO 11ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004942 <br /> DATE RECEIVED by EHD: March 23,2005 APPL#: PA-05-137 <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES PE : 2660 <br /> DEVIATION(DV) <br /> COMPLETE &SUBMIT BY: Tue, April 5, 2005 <br /> Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 29007 E HARNEY LN, LODI APN : 06726003 <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 /> I recommend: Approval E Denial ❑ Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: k�J <br /> OA 1l Check Off List Proofread Report? IV Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 6 March 24,2005 <br />