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NOTE: PULL ALL "MITS (Septic, Well, etc.) MAKE %PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004527 <br /> DATE RECEIVED by EHD: June 30,2004 APPL#: PA-04-358 <br /> Referral Agency STAFF CONTACT: KATHLEEN ALLEN PE : 2622 <br /> SUBDIVISON-MINOR(NIS) <br /> COMPLETE& SUBMIT BY: Tue, July 20, 2004 Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 12400 E KETTLEMAN LN, LODI APN : 06325002 <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 /> a� <br /> aaod <br /> as �� <br /> rr� - <br /> I recommend: Approval, Denial Continuance El I spec <br /> Si ature <br /> Supervisor/Lead Senior COMMENTS: <br /> dy <br /> 117 <br /> a <br /> p aI <br /> 2- <br /> aa • ol <br /> SUPERVISOR/ LEAD SENIOR Approval: C, ?-- y` Date: a i � <br /> A 11 Check Off List: Proofread Report? Correct LAND USE 4? <br /> Correct CONDITION(S)? .Logged'in LAND USE Book? <br /> 06 Report 47201 Page 3 July 07,2004 <br />