Laserfiche WebLink
NOTE: PULL ALL MITS (Septic, Well, etc.) MAKE E%-,, IES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0006628 <br /> DATE RECEIVED by EHD: July 10,2007 APPL#: PA-0700305 <br /> Referral Agency STAFF CONTACT: JASON JONES PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, August 7, 2007 <br /> Assigned to : EE0007379 BOERTIEN <br /> SITE ADDRESS: 401 W BRIGGS RD, LATHROP APN : 19334021 <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: (q1 A Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: , c!v�� e 1-14 <br /> it: 0 : o <br /> ra � ' � C' <br /> I recommend: Approval ❑ Denial Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> i <br /> SUPoQERVISOR/LEAD SENIOR Approval ate <br /> rooreadteport� Correct'3I��Tb�U� I <br /> ' [f Chek`Off LFst d r r 3 <br /> �1CorrecI Bdak? <br /> 4 <br /> EH 06 06 Report 97201 July 10,2007 <br />