Laserfiche WebLink
NOTE: PULL ALL P OMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: S00010493 <br /> DATE RECEIVED by EHD: May 18,2015 APPL#: PA-0200182 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2656 <br /> REVISIONS TO ACTIONS (RA) <br /> COMPLETE&SUBMIT BY: Wed, May 27, 2015 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 23813 N MACKVILLE RD, CLEMENTS APN : 01922040 <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: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> A J 6�5-- /SGL <br /> j2& 27 .44 2e292- <br /> I recommend: Approval 0 Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> Af- <br /> SUPERVISOR/LEAD SENIOR Approval: Date: zz <br /> List:OA 1i Che k Off Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 May 19.201 <br />