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� 3 <br /> NOTE: PULL ALI RMITS (Septic, Well, etc.) MAKL,.�'QPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007355 <br /> DATE RECEIVED by EHD: September 05,2008 APPL#: PA-0800258 <br /> Referral Agency STAFF CONTACT: EVA PAGE PE : 2690 <br /> COMPLETE&SUBMIT BY: LOT LINE ADJUSTMENT(LA) <br /> � � <br /> Assigned to : EE0005944 ESCOTTO <br /> %009 11 goo I I <br /> SITE ADDRESS: 8701 E HARNEY LN, LODI APN: <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 F] Denial F-1 Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA!r k i_Istifread � ort -wCorre !]USE <br /> —14z <br /> sct `� DiTlr <br /> 'Nis - L nt 1.,-AN USB kookorry <br /> EH 06 06 Report#720 1 September 08,2008 <br />