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NOTE: PULL ALI.-4ERMITS (Septic, Well, etc.) MAK OPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006922 <br /> DATE RECEIVED by EHD: January 25,2008 APPL 4: PA-0800021 <br /> Referral Agency STAFF CONTACT: EVA PAGE PE ; 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE &SUBMIT BY: A 6 A P-BE*y <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 11220 E HWY 12 , LODI APN : 05114010 <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 snap of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: Public Sewer: Q <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval Denial Continuance ❑ <br /> ignature <br /> Supervisor/Lead Senior COMMENTS: <br /> 1 <br /> SUPERVISOR 1 LEAD SENIOR Approval: <br /> �?I$t':11 Ch t`1C�IF Lls • Prco IADP # <br /> M. greet CQI�I"1p1��5� <br /> EH 06 06 Report 07201 <br /> January 25,2008 <br />