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z w, RB <br /> NOTE: PULL ALL PERMIT"'S (SEPTIC, WELL, ETC...) Mk&E COPIES FOR FILE <br /> PA-0500367 (GP) - SU0005181 & <br /> LAND USE REPORT APP#: PA-0500368 (ZR) - SU0005182 <br /> EHD RECEWED APP.REFERRAL: 07/06/05 COMPLETE & SUBMIT BY: 07/15/05 <br /> DATE DATE <br /> ATTN:SCK,GRIFFIN <br /> SITE ADDRESS: 12203 N. STATE ROUTE 99 (W. FRONTAGE ROAD, LODI) <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw a completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: Public sewage: <br /> SUMMARY OR COMMENTS: / <br /> 17 U <br /> P <br /> i r <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> r 1 <br /> oy, <br /> - <br /> P� <br /> SUPERVISOR/LEAD SENIOR APPROVA <br /> EH 06 06 Rev 1199 <br />