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NOTE: PULL ALL-211MITS (Septic, Well, etc.) MAKE.—;aPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005972 <br /> DATE RECEIVED by EHD: March 21,2006 APPL#: PA-0500836 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, April 4, 2006 <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: ���_ 3 Public Sewer: 5,�- <br /> SUMMARY OR COMMENTS: <br /> Name of Purveyor Name of System <br /> CJ <br /> .�� <br /> L�- <br /> ��� • �/ l � �/ i`- :-v/ ��-'i.- ;�'S �i`"2 ami smear' �e�•��T.�'�� ifi--�/ /�_ <br /> I recommend: Approval Denial Continuance Ins or: <br /> Sig ture <br /> Supervisor/Lead Senior COMMENTS: <br /> Da- <br /> o �2- <br /> G 2 -2 a7 <br /> 04 <br /> SUPERVISOR/LEAD SENIOR Approval: J6ate: <br /> ec Off Llst. ::.-; r Correct LAND[JSL.# <br /> Correct CONDITION(S)? Logged iii LAND USE 13ook'' <br /> EH 06 06 Report#7201 March 21,2006 <br />