Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010138 <br /> DATE RECEIVED by EHD: July 14,2014 APPL#: PA-1300105 RE <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE: 2656 <br /> REVISIONS TO ACTIONS(RA) <br /> COMPLETE &SUBMIT BY: Tue, August 5, 2014 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 5484 W HWY 12 , LODI APN: 05516023 25 <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 /> 4 <, 7-/ S1f�t.L� GY Pzf ,-[3) /4.5 ST47c� /,f,/7� 12 27 <br /> I recommend: Approval [j Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: k l/j Date: 7 <br /> OA fI Check Off List- Proofread Report? Correct 1,,AND USE#? <br /> Correct C0ND1T10N(S)? 1 o1ged in LAND USE Book? <br /> EH 06 06 Report#7201 <br />