Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORDED: 500011551 <br /> DATE RECEIVED by EHD: October20,2017 APPL#: PA-1700178 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE & SUBMIT BY: Fri, October 27, 2017 <br /> Assigned to : EE0009488 WONG <br /> SITE ADDRESS: 3434 W HWY 12 , LODI APN : 05517004, 40,41, 42 <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 /> a <br /> Public Water: -' - Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> U tr<11 Focu d e-'Tr T � ?SiS <br /> Vf%e9A9j:r- AIDLX4&0 A /T4b <br /> ep <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 Check Off LjSt7 Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 October 23,2017 <br />