Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0010967 <br /> DATE RECEIVED by EHD: July 01,2016 APPL#: PA-1600155 <br /> Referral Agency STAFF CONTACT: MO HATEF PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, July 19, 2016 <br /> Assigned to: EE0005944 ESCOTTO <br /> SITE ADDRESS: 23800 N JACK TONE RD, ACAMPO APN: 02105019 <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 /> SGC(/ rZ <br /> f�.3 �/ c'Q/5i�7� s-�✓1�2�i �r � /irn�I •� ra✓`1�6�5�✓/� z�t�c__ /�>rz//�✓ <br /> -z-/u se4,fir/6lBs7 QliL C-4Q <br /> 7� .�-�/�-old 11�.�[l�'n- �/T-�,.� A .r><t�u//.�1���.=c�n�✓c� �+� <br /> �1 60:>� z9, 7d*7 4e' Le '64yYrE-� LyZY,rr --5e -717 2tAa�� Lr.C7.0 <br /> — ,CGsrYYY 94Z �f1 !/:!/a t', yzel �� /� RP7-.A471i0 ^L A: i Zl-.,C(,7 <br /> I recommend: Approval Denial Continuance ❑ Inspec <br /> Signature <br /> Sunervisor/Lead Senior COMMENTS: <br /> 4P VV W-410� <br /> t1,x�•t•. 'Loo'. 0�. ' 0�;5w.,iWl (^.+v..a-a.'7l' 1Y <br /> (.� Z2��1 — y.Jwr�� - Q<,c� � C,-w�Gati � tu..t�..U•-(/� <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA II Check Off List: Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> v.nh P.�pnri=" i Jul,W 2016 <br />