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NOTE: PULL AL..-TERMITS (Septic, Well, etc.) MAK=40PIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00005251 <br /> DATE RECEIVED by EHD: July 25,2005 APPL#: PA-0500464 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, August 16, 2005 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 12786 E TOKAY COLONY RD, LODI APN : 06328026 <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 /> �M urveyor,. Name of System <br /> SUMMARY OR COMMENTS: h <br /> �y <br /> I recommend: ApprovalDenial Continuance Insp <br /> Si nature <br /> Supervisor/Lead Senior OMMENTS: <br /> - . D ,2 : a 7 <br /> 12< <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA it Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book'? <br /> EH 06 06 Report#7201 July 26,2005 <br />