Laserfiche WebLink
NOTE: PULL ALL%..RMITS (Septic, Well, etc.) MAKE SPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004622 <br /> DATE RECEIVED by EHD: August 30,2004 APPL#: PA-04-461 <br /> Referral Agency STAFF CONTACT: JENNIFER JOLLEY ✓ PE : 2622 <br /> SUBDIVISON-MINOR(MS. <br /> COMPLETE & SUBMIT BY: Tue, September 21, 2004 <br /> Assigned to : EE0009374 GODINHO 6-�- <br /> SITE ADDRESS: 19898 S JACK TONE RD, RIPON 1✓ APN : 24516003 <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: ij&tuf Public Sewer: 0/y <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> 06 <br /> I recommend: Approval Denial Continuance Inspector• 6� <br /> c <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> 0 <br /> A <br /> SUPERVISOR/ LEAD SENIOR Approval: Date: e/ <br /> Proofread Report? �' k�y_ar. "" "'Correct LAND USF,8 <br /> OA 11 Check ON List. ..., <br /> Correct CONDITION(S)7 Logged in LAND USE Book? <br /> EH 06 06 Report 87201 Page 2 September 02,2004 <br />