Laserfiche WebLink
i <br /> i <br /> w <br /> C NOTE: 'PULL ALL-..HERMITS (Septic, Well, etc.) MAKE - '!PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0003422 <br /> DATE RECEIVED by EHD: April 13,2004 APPL#: PA-04-173 <br /> Referral Agency STAFF CONTACT: JOSE RUBIANES PE : 2626 <br /> USE PERMIT-GENERAL(UP) <br /> COMPLETE&SUBMIT BY: Wed, May 5, 2004 Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 2990 E BILL RD, GALT APN : 00508026 <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: Z� Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 01--7 <br /> r <br /> I recommend: Approval Denial Continuance Inspect <br /> Sig store <br /> Suaervisor/Lead Senior COMMENTS: <br /> 0 <br /> d3OLD <br /> D <br /> SUPERVISOR I LEAD SENIOR Approval: ftrDate: <br /> OA i1 Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 Page 1 April 16,2004 <br />