Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009633 + 5LL0 COR'(,3 y <br /> DATE RECEIVED by EHD: May 09,2013 APPL#: PA-1300027 -- Qf}- 13000(o(, <br /> Referral Agency STAFF CONTACT: STEPHANIE STOWERS PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: j, '� 1 2 Zo 1 3 <br /> I Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 2700 S ESCALON BELLOTA RD,FARNHNGTON APN : 18718010 <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit (i.e., sewage disposal, water <br /> >upplies, 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 /> or ��G��zcntc-�.Ltrn�n7ty Guiv;'ulsl , <br /> • .(.�Gc�r, cst, LIC. �.ssi� �/= C6ih.�7tn/!<�"YE.cUfc3� <br /> - 2c�ma�t/�Zrci/s <br /> I recommend: Approval Denial Continuance ❑ Inspecto . <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> i11 7 Z- 0 O ,Q t"s j d.�n l l t ✓la B(A A fee, n�v,.�Lu r� <br /> SUPERVISOR/LEAD SENIOR Approval: 4u , Date: <br /> Od 1l(heck <br /> e5 <br /> Ld'ged-ut" <br /> "_H 06 06 Report 47201 May 10.201' <br />