Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008951 <br /> DATE RECEIVED by EHD: November 01,2011 APDL#: PA-1100200 <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2690 <br /> 4 , LOT LINE ADJUSTMENT(LA) <br /> COMPLETE &SUBMIT BY: R_R *� <br /> A:4 P Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 816 VV LUCAS RD, LODI APN : 01504036 57_58 <br /> In completing the Land Use investigation draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> supplies, etc...). Where necc sary, on an attached piece of plain paper, draw complete map of area showing population <br /> density, location of house, - nd direction. etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: y <br /> 1-.IQ /75 <br /> /�•32cc� / Crt fzfr A <.v�/C__` i7 4— <br /> I <br /> I recommend: Approval12/ El El <br /> Denial Continuance Inspecto <br /> Signature <br /> Supervisor/Lead Senior COMRIENTS: <br /> SUPERVISOR/LEAD ' IENIOR Approval: Date: <br /> OA H Check Off List: I'ioo Gcad Report rrect LAND USE!l ? <br /> _ Cmrcct CclND171ON(S)?__ Logged in LAND USE Book? <br /> Ell 06 06 Report#7201 November 02,2011 <br />