Laserfiche WebLink
. <br /> t�i+IOTE•'�PULL�� � --'�� <br /> AL r_ ERMfTS,(Septic;,Well,�etc.)MAKE-�PiES'FOR'OiLE <br /> LAND USE REPORT RECORD ID: SU0008482 <br /> DATE RECEIVED by EHD: October 25,2010 APPL 4: PA-1000183 zp%I apo � <br /> Referral Agency STAFF CONTACT: RICK GRIFFIN PE : 2689 <br /> GP AMENDMENT 5-9.9 acres(GP) <br /> COMPLETE &SUBMIT BY: Wed, November 10, 2010 1&&6(Ze> <br /> SITE ADDRESS: 15300 N THORNTON RD, LODI APN : 02519016 <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 /> 1 recommend:. Approval Denial Continuance Inspector _ <br /> Supervisor/Lead Senior COMMENTS: Signature <br /> SUPERVISOR/LEAD SENIOR Approval Date: ] (� <br /> PrOfread° ET1CtT �'xir '.. a <br /> OA Il Check Off S <br /> ,„ ."wc a •; - � "' r €g&Ry,^MF;, M' <br /> ,¢ s �4 €L.,� <br /> _. ... e 5 neGerrectGNDTTI„oN( }� Lo ed'3n IsAD <br /> gg <br /> .., r <br /> "Ell 06 06 Report 47201 <br /> October 26,2010 <br />