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f NOTE: PULL AL `ERMITS (Septic, Well, etc.) MAK 'OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006957 <br /> DATE RECEIVED by EHD: February 06, 2008 APPL#: PA-0800028 PRE-APP Pre-Applica <br /> Referral Agency STAFF CONTACT: PATRICK CROSBY PE : 2622 <br /> SUBDIVISON-MINOR(NIS) <br /> COMPLETE & SUBMIT BY: Wed, February 13, 2008 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 6686 W KILE RD, LODI APN : 01112002 <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: -11 , Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 04 <br /> 11:11 SSCR <br /> 11:07 SSR/NLS Strike "incorporating proposed staff and customers" <br /> 22:02— Prior to recordation of Parcel Map <br /> 11:03 (a) <br /> 22:01 <br /> 11:02 <br /> NOTE: ADD—This previous land use of this property was a permitted dairy. <br /> The Environmental Health Department (EHD) has knowledge <br /> of four sewage disposal locations associated with septic tanks. <br /> The septic tank locations shall be located under permit and inspection. <br /> SUPERVISOR / LEAD SENIOR Approval: Date: <br /> OA It Check Off List Proofread Report? Cof ect LAND USE#? <br /> Correa CONDITTON;S)7 ogged in LAND USE Book? -- <br /> FH 06 06 Repon#7201 Febmary 07,2008 <br />