Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006672 <br /> DATE RECEIVED by EHD: August 02,2007 APPL#: PA-0200019 <br /> Referral Agency STAFF CONTACT: JENNIFER JOLLEY PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE& SUBMIT BY: Wed, August 15, 2007 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 8215 E HWY 12 , LODI APN :�95Y030II9 -- <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: Z ]J-v <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: ' — <br /> o <br /> 04 <br /> 203.02 Applicant shall contact Adrienne Ellsaesser, Lead Senior R.E.H.S., at <br /> (209)468-0343 for submittal of an updated Water System Declaration Form, <br /> for proposed marketing events. <br /> I recommend: Approval 17Denial Continuance Inspector: <br /> SiOnature <br /> Supervisor/Lead Senior COMMENTS: <br /> �� _ <br /> S �o q(Dd 03L/5 - <br /> Yt1PERVISOR % LEAD SLNIOR Approval: Date: <br /> OA 11 Check OK List: Proofread Report?__ Correct LAND <br /> Correct CONDITION(S)? Logged in L <br /> 3H 06 06 Report#7201 <br />