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r• NOTE: PULL AL RMITS (Septic, Well, etc,) MAK£ 1�PIES FOR FILE <br /> RECORD ID: SU0007398 <br /> LAND USE REPORT <br /> DATE RECEIVED by EHD: September 29,2008 APPL#: PA-0$00279 <br /> Referral Agency STAFF CONTACT: EVA PAGE PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE &SUBMIT BY: I& A nVi Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 11495 N THORNTON RD, LODI APN : 005I1004 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e., sewage disposal, water <br /> supplies, etc...). Where necessary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house, wind direction, etc.... <br /> Public Water: %--- ~ Public Sewer: <br /> ` Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> ti.l 1V►- <br /> 110 <br /> I recommend: Approval Denial Continuance � Inspect �• <br /> Ign'aue <br /> Stiervisor/Lead Senior COMMENTS: <br /> Ll <br /> SUPERVISOR/LEAD SENIOR Approval Dat <br /> e• <br /> , Pr©ofxead ,,t D USE# .. <br /> 1A fl Cheek OffList = Logged a LAND USE Book <br /> .cosre ©NBiTIONI$) <br /> w <br /> : <br /> September 29,2008 <br /> EH 06 06 Report 07201 <br />