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NOTE: PULL ALL.—,-'RMITS (Septic, Well, etc.) MAKE _,.)PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006861 <br /> DATE RECEIVED by EHD: November 30.2007 APPL#: PA-0500836 TE <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Mon, December 17, 2007 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 14820 N STAR ST, LODI APN : 05532058 <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: 42 , Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I� <br /> I recommend: ApprovalfT Denial Continuance Inspector: <br /> S'-nature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: ,_ %" ,—' Date: <br /> OA 1, Check Off List: Proofread Renort`? " Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> December 03,2007 <br />