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NOTE: PULL ALL,—IMMITS (Septic, Well, etc.) MAKE AES FOR FILE <br /> i <br /> LAND USE REPORT RECORD ID: SU0005184 <br /> DATE RECEIVED by EHD: July 06,2005 APDL#: PA-0500393 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE &�BMIT BY: V' <br /> II� Assigned to • EE0005366 MEDINA <br /> SITE ADDRESS: �14W TURNER RD, LODI APN : 02515007,53,& <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit i.e. sewage disposal, water <br /> I� 1 g investigation, � g <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 /> Is <br /> I Public Water: Public Sewer: <br /> Name of Purveyqj Name of System <br /> SUMMARY OR COMMENTS <br /> k �L •�. <br /> 1 <br /> I� <br /> f <br /> �i <br /> E <br /> I recommend: Approval Denial El Continuance F] Inspe <br /> -1o/ Si ature <br /> Su ervisor/Lead Senior COMMENTS: <br /> V IV <br /> 3 <br /> A h <br /> 1 <br /> _L <br /> d <br /> SUPERVISOR/LEAD SENIOR Approval: Date: ( � <br /> Proofread Report? Correct LAND USE#7 '•; <br /> i OA I!Check Off List' :- + ' = ., <br /> Correct CONDITiON(S) Logged.iri LAND USE Book? a <br /> y <br /> i <br /> ' Eli 06 06 Report 87201 July 06,2005 <br /> IE <br /> Fl <br />