Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORDED: SU0011810 <br /> DATE RECEIVED by EHD: June 04,2018 APPL#: PA-1800140 <br /> Referral Agency STAFF CONTACT RICK GRIFFIN PE : 2690 <br /> LOT LINE ADJUSTMENT(LA) <br /> COMPLETE & SUBMIT BY: Fri, June 8, 2078 <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 14771 W BETHANY RD,TRACY APN : 20930017,20930003 <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: N,,,.e_ Public Sewer: �G <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: I zd17 >Yr /l!v-t✓�: Z NGL�J a n iA <br /> Pwee" "'ZL <br /> 64-t <br /> ( 4/2&17 S/y�C Y S L : 3 �e Etny,� fs e-74 kwivt <br /> cemMcp-t S: 0q <br /> I recommend: Approval ❑ Denial ❑ Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> L�-rY 0"' �i <br /> v <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 k ff List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 June 05,2018 <br />