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NOTE: PULL ALL �-.AMITS (Septic, Well, etc.) MAKE G.J IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006150 <br /> DATE RECEIVED by EHD: August 01,2006 APPL#: PA-0600423 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: AbAP-BY, <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 121.72 N HIBBARD RD, LODI APN : 06323014 <br /> 1 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 /> i <br /> _ 4 <br /> I recommend: Approval Denial ❑ Continuance Inspector: <br /> el Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> I <br /> 3 <br /> r <br /> SUPERVISOR/LEAD SENIOR Approval: {( 7nDate: 2 f <br /> EH 06 06 Report#7201 August 0l,2006 <br />