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n � <br /> NOTE: PULL ALL toERMITS (Septic, Well, etc.) MAKE—JPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00007444 <br /> DATE RECEIVED by EHD: October 27,2008 ADPL 4: MS-0800322 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE&SUBMIT BY: Wed, November 19, 2008 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 5601 W PELTIER RD, LODI APN : 003-040-12 <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: i� Public Sewer: �� <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS,-,,, � ��x� 4z: <br /> 04 <br /> 11:11 (a) <br /> 11:06: The Environmental Health Department requires a soil suitability <br /> study indicating that the area is suitable for septic tank usage. <br /> This must be performed prior to Cert' ; <br /> Recordation of Parcel Maps_ <br /> 11:03 (a) -- <br /> 22:01 <br /> 203:01 Applicant shall submit a revised site plan to the Environmental Health <br /> Department (EHD)depicting all water well locations (San Joaquin County <br /> Ordinance Code, Section 9-1115.6). <br /> 77,SUPERVISOR/ LEAD SENIOR Approval: ��° Date: <br /> OA II Check ON List: proofread Report? Correct LAND USE'#? <br /> Correct CONDITfON(S)? Logged in LAND USE Book? - <br /> EI-I 06 05 Report 47201 October 27,2008 <br />