Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009067 <br /> DATE RECEIVED by EHD: February 21,2012 APPL#: PA-1200023 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2632 <br /> SITE APPROVAL-GENERAL(SA) <br /> COMPLETE &SUBMIT BY: Wed, February 29, 2012 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 17016 N JACK TONE RD, LODI APN : 05303046 <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: ;�� Ll � y ��= � ) m rY7lz< <br /> �i�f�t�E'9 �i��Nl -Rq�,162�zrs'7�`zil=7rG-ls .�2 `Zr l3�/ LQzc� i✓?� �ffo / <br /> ' !�G✓Sr7Cs5.��oZ�c 5 .li�c[i.CL7.�t� 5.�C7C�f7srl<'A'`Ls '� �✓57�-(iLf- <br /> Z 2-7:c <br /> [ recommend: A proval [2 Denial Continuance Inspecto <br /> Supervisor/Lead Senior COMMENTS: Signature <br /> (A ) 22.'aS (a) <br /> 2Z ; o7 <br /> SUPERVISOR/LEAD SENIOR Approval: Date: / Z' <br /> OA 11 Check Off List., Proofread Rcport7 Correct LAND USF,4 <br /> Correct CONDI IION(S)? Logeed in LAND USE Book? <br /> Eli 06 06 Report#7201 February 21,2012 <br />