Laserfiche WebLink
f <br /> JH <br /> NOTE: PULL ALL PERMITS (SEPTIC, WELL, ETC...) MAKE COPIES FOR FILE <br /> LAND USE REPORT APP#: PA-04-38 (SA) <br /> EHD RECEIVED APP.REFERRAL: 2/17/04 COMPLETE & SUBMIT BY: 3-2-2004 <br /> DATE DATE <br /> ATTN: JOSE R11BIANES <br /> SITE ADDRESS: 3776 WEST GRANT LINE ROAD, TRACY <br /> In completing the Land Use investigation, draw all Public Health factors on the exhibit(i.e.: sewage disposal, <br /> water supplies, etc...). Where necessary, on an attached piece of plain paper, draw a completed map of area <br /> showing population density, location of house, wind direction, etc.... <br /> Public water: /VCS Public sewage: A/0 <br /> SUMMARY OR COMMENTS: <br /> I recommend: Approval <br /> --�- 15enial Continuance Inspector's Signature r <br /> Supervisor/Lead Senior Comments: <br /> 04 <br /> 3. -2a-. 0a 04!-� ' <br /> 0aQr � . <br /> 7 3 . <br /> SUPERVISOR/LEAD SENIOR•APPROVAL- <br /> OF <br /> r <br /> EH 06 06 Rev 1/99 <br />