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NOTE: PULL ALL,—.,MITS (Septic, Well, etc.) MAKE,,-AES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0005625 <br /> DATE RECEIVED by EHD: September 12,2005 APPL#: PA-0500596 - <br /> Referral Agency STAFF CONTACT: ANTONIO SALCEDO `/ PE: 2690 <br /> '�T r � LOT UNE ADJUSTMENT(LA) <br /> COMPLETE& SUBMIT BYA6*1 "Kit a _ft. .; <br /> - - Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 7802 E HVVY 12 ,LODI APN : 04912011 <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: o Public Sewer: <br /> of Purveyor Name of System <br /> SUMMARY OR COMMENTS: /9�a_J <br /> 0/ <br /> I recommend: Approval Denial Continuance F� Insp to <br /> Si ature <br /> Supervisor/Lead Senior COMMENTS: <br /> 2,03 <br /> ' <br /> JP <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA fl CIt cl[Uff List:, Pzofread Re ort? <br /> Correct i,D USE <br /> � r <br /> Correct CQNWTIO NO 7 gg in LANI? fSE Bogf' <br /> EH 06 06 Report#7201 September 13,2005 <br />