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NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007279 <br /> DATE RECEIVED by EHD: July 14,2008 APPL#: PA-0800028 <br /> Referral Agency STAFF CONTACT: PATRICK CROSBY PE : 2622 <br /> SUBDI V ISON-MINOR(MS) <br /> COMPLETE & SUBMIT BY: Tue, August 5, 2008 <br /> Assigned to : EE0005366 MEDIN.4 <br /> SITE ADDRESS: 6686 W KILE RD, LODI APN : 011-120-02 <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: /moo Public Sewer: <br /> Name of Purveyor Name of System i <br /> SUMMARY OR COMMENTS: <br /> as.' oa <br /> /i. oa �/yOTc`• <br /> I recommend: ApprovalDenial ContinuanceEl <br /> Ins ecto • <br /> gnature <br /> Supervisor/Lead Senior COMMENTS: <br /> 7 CLn . U i DEQ g 5 f o 9 a�1-V 11-4s <br /> c) 4� '0& <br /> e o z k> PCIA <br /> I C a <br /> - o <br /> r <br /> SUPERVISOR/LEAD SENIOR Approval: / _ __ Date: <br /> OA If Check OH List: Pro.tread <br /> Correa CONDITION(S)? Loomed in LAND USE Gook? <br /> Eli 06 U6 Report k7201 <br />