Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010056 <br /> DATE RECEIVED by EHD: May 02,2014 APPL#: PA-1100024 <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2656 <br /> REVISIONS TO ACTIONS(RA) <br /> COMPLETE &SUBMIT BY: Tue, May 20, 2014 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 18667 N JACOB BRACK RD, LODI APN: 01109003 14 01115012 23 <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: <br /> A) ` / <br /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> A—L 4,—P .. <br /> SUPERVISOR/LEAD SENIOR Approval: /V4*04,, Date: <br /> OA411 Cho ot�eat� <br /> a"xecttfNL©gge °znAl ,Y UIck" - <br /> EH 06 06 Report#7201 <br /> May 05.2014 <br />