Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011204 <br /> DATE RECEIVED by EHD: January 26,2017 APPL#: PA-1700004 <br /> Referral Agency STAFF CONTACT: JOHN FUNDERBURG PE : 2638 <br /> SPECIFIC PLAN(SP) <br /> COMPLETE&SUBMIT BY: Tue, February 14, 2017 <br /> Assigned to : EE0004045 TASIOPOULOS <br /> SITE ADDRESS: MOUNTAIN HOUSE COMM ,MOUNTAIN HOUSE APN: <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: Ue=- <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMM Z NTS: <br /> I recommend: Approval DenialEl Continuance Inspects=� <br /> Signature <br /> Su ervisor/Lead Senior COMMENTS: <br /> o ) Alro <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> A 11 Check Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> EH 06 06 Report#7201 January 26,2017 <br />