Laserfiche WebLink
T" <br /> NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) NCAKE COPIES FOR FILE <br /> LAND USE REPORT APP-4- MS-97-20(TIME EXTENSION) <br /> EHD RECEIVED APP.REFERRAL: — -o/ COMPLETE & SUBMIT BY — 7 _U <br /> DATE DATE <br /> ATTN: J'a v1 e-S <br /> SITE ADDRESS: 14447 E. TOKAY COLON`' RD., LODI <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: -- ''� Public sewage: <br /> SUMMARY OR COMMENTS: <br /> '7� U <br /> I recommend: Approval Denial Continuance Inspector's Signature <br /> Supervisor/Lead Senior Comments: <br /> L � <br /> SUPERVISOR/LEAD SENIOR APPROVAL: <br /> OA II CHECK OFF LIST. Proofread report? Correct LAND USE#? <br /> 1-1106 06 Rev 1/99 Correct CONDITION(S)? Logged in LAND USE BOOK? <br />