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NOTE; PULL ALSL ,. ERMITS (Septic, Well, etc.) MAKE,,, ,DPIES FOR FlU <br /> RECORD ID: SU0005600 <br /> LAND USE REPORT <br /> DATE RECEIVED by ERD: September 06,2005 APPL#:PE : 269 269 0500569 <br /> 0 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN - LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY P-'- 1 to EE0005366 MEDINA <br /> j Sig <br /> APN <br /> SITE ADDRESS: '3575 W TURNER RD,LODI <br /> In completing the Land Use investigation, draw al! 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: may,, ,, Public Sewer: /gyp <br /> of Purveyor � Name of System <br /> SUMMARY OR COMMENTS: /��n�- � � r' <br /> zz <br /> I recommend: Approv Denial Continuance I specto . <br /> S gnature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval Date: <br /> w -U: CatreatLANI� ISE ? -� <br /> Pr &�a apart <br /> is OA�11=Checlf,SDfftst: �, <br /> � 9 <br /> S <br /> September 08,2005 <br /> EH 06 06 Report#7201 <br />