Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0013612 <br /> DATE RECEIVED by EHD: September 11,2020 APPL#: PA-2000146 <br /> Referral Agency STAFF CONTACT: K��,S�"1 ` PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE&SUBMIT BY: Thu, September 17, 2020 <br /> Assigned to : EE0000418 KITH <br /> SITE ADDRESS: 6799 E HWY 12 , LODI APN : 04913062,-63,-70 <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: 'CN 0W�— Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: Q 6 0. 13v�P 2 - "�`� +` �4�j3,j \2 , V 0 <br /> \'Lbo V-' <br /> �W` k 'Fr-. <br /> New NA.) N»17 C)� f>=J L���lJfn FbGi(iD <br /> 0 Q11 <br /> I recommend: Approval5j Denial ❑ Continuance F-1 Inspector: <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 47201 September 15,2020 <br />