Laserfiche WebLink
NOTE: PULL ALL- -£RMITS (Septic, Well, etc.) MAKE wOPIES FOR FILE <br /> LAND USE REPORT RECORD ID: 500005038 <br /> DATE RECEIVED by EHD: May 10,2005 APPL#: PA-0500249 <br /> Referral Agency STAFF CONTACT: KARLA KUHL PE : 2625 <br /> USE PERMIT-MINOR(UP) <br /> COMPLETE& SUBMIT BY: Tue, June 7, 2005 <br /> Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 6911 S MICHAEL CANLIS BLVD, FRENCH CAMP APN : 19305014 <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 /> I recommend: Approval Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> © Y. <br /> "73 : 0 ( <br /> R ') 3 .0 -s_ <br /> c '13 <br /> o.3 <br /> D � 3 : 0S <br /> SUPERVISOR/LEAD SENIOR Approval: - Date: �tiJ <br /> OA l/Check Off List Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report 47201 May 13.20V <br />