Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011101 <br /> DATE RECEIVED by EHD: October 21,2016 APPL#: PA-1600247 <br /> Referral Agency STAFF CONTACT: EVAN WATSON PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> CO !lk ®' RY: Fri, October 28, 2076 Assigned <br /> to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 9263 E SCHMIEDT RD, LODI I APN : 05111021 <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: 12eUllz �, aC)�c��� �� �4�Ts�/4 x-70, <br /> /�c12� / .,s Tidy Tl�S/ S Gds7r/ cI lsy�.r �� r7 Ax <br /> 42Ee y W2 Cil i.Q,Z� 4MZA& tEl7lEh 9,- Lpr Zv <br /> —171'�tl�-i7c�s <br /> J /-Z-- Z&L ze;M k-15/CY7 mss / Zt< S Tia !///IV---efmoi✓TLS (G�Z <br /> I recommend: Approval10 Denial ❑ Continuance Inspec or <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 11 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 87201 October 21,2016 <br />