Laserfiche WebLink
NOTE: PULL ALC..,;RMITS (Septic, Well, etc.) MAKE 1._v-CIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0008376 <br /> DATE RECEIVED by EHD: July 22,2010 APPL#: PA-1000155 <br /> Referral Agency STAFF CONTACT: KEVIN SWANSON PE : 2622 <br /> SUBDIVISON-MINOR(MS) <br /> COMPLETE& SUBMIT BY: Tue, August 97, 2010 <br /> Assigned to : EE0005366 MEDINA <br /> SITE ADDRESS: 390 W JAHANT RD, ACAMPO APN : 00309024 28 <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 /> QY - <br /> 4 <br /> coca.c�� <br /> I recommend: Approval enial Continuance <br /> Supervisor/Lead Senior COMMENTS: ignature <br /> Al <br /> 2 �a _ �� A <br /> 011 <br /> c7 <br /> Alio z <br /> F SUPERVISOR/LEAD SENIOR Approval: <br /> oars cry off r, t � xo�led Rib g S <br /> pi's`' <br /> Eli€ - ,`°jdt — OCrCS'+C Ii. <br /> ` »* <br /> �..© ed�I.�ICa USIA <br /> f� ,- <br /> EH 06 06 Report#7201 <br /> July 23,2010 <br /> R <br />