Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009766 <br /> DATE RECEIVED by EHD: September 19,2013 APPL#: PA-1300091 <br /> Referral Agency STAFF CONTACT: JOHN L FUNDERBURG PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE & SUBMIT BY: Tue, October S, 2013 <br /> Assigned to: EF0005944 ESCOTTO <br /> SITE ADDRESS: 5136 W HWY 12 RD, LODI APN : 05516024,43,44& 73 <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 /> 3ensity, location of house,wind direction, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> —F'661:52/j14 k: <br /> 41 Q5- Atz-�I"k, .Scar, R�G�.4ta[� i�17�r� �i-s -z* c <br /> I recommend: Approval E2' Denial ❑ Continuance Inspecto . <br /> Signature <br /> Supervisor/Lead Senior COMMENTS:f <br /> SUPERVISOR/LEAD SENIOR Approval: V%-7 Date: /0 1 13 <br /> ei ttllxl ..,i <br /> EH 06 06 Report#7201 September 19,201: <br />