Laserfiche WebLink
NOTE: PULL ALL..d.RMITS (Septic, Well, etc.) MAK6„aOP1ES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0007346 <br /> DATE RECEIVED by EFID: August 22,2008 APPL M PA-0800247 <br /> Referral Agency STAFF CONTACT: CORINNE KING PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE& SUBMIT BY: Tue, September 16, 2008 <br /> Assigned to : EE0005944 ESCOTTO <br /> SITE ADDRESS: 33 W MATHEWS RD, FRENCH CAMP APN: 19316026 <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 t <br /> tem <br /> SUMMARY OR COMMENTS:I recommend: Approval © Denial Continuance Inspecto <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> t � : c <br /> G 2C :� <br /> SUPERVISOR /LEAD SENIOR Approval: 7 Date: <br /> OA 11 Check Off List., Proofread Report? - Correct LAND USE#'? - <br /> Correct CONDITION(S)? -Logged in LAND USE Book'? - <br /> FH 06 06 Report#7201 Aveus� 1�.2008 <br />