Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0011909 <br /> DATE RECEIVED by EHD: August 20,2018 APPL#: PA-1800185 <br /> Referral Agency STAFF CONTACT. GIUSEPPE SANFILIPPO PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, September 4, 2018 <br /> Assigned to : EE0000034 AHMED <br /> SITE ADDRESS: 11075 W LARCH RD,TRACY APN : 21217002 <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: tLn /I c-04 'tie i2v v.14-0: <br /> 1 b e 1,24-e- S S lett lel rn <br /> I recommend: Approval ❑ Denial 0 Continuance ❑ Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> AII h k ff L' Proofread Report? Correct LAND USE#? <br /> Correct CONDITION(S)? Logged in LAND USE Book? <br /> FH 06 06 Report#7201 August 22,2018 <br />