Laserfiche WebLink
MOTE: PV�LA - <br /> ERMITS (Septic, Weli, a#c.] MAK PIES FQR FRE <br /> I.d�lN© USE REPORT RECORD ID: SU0007535 <br /> DATE RECEIVED by EHD: January 07,2009 �� <br /> Referral Agency STAFF CONTACT: CORINN APPL#: PA-0800349 <br /> PE ; 2631 <br /> COMPLETE& SUBMIT BY: Tu January 20, 2009 SITE APPROVAL-MINOR(SA) <br /> SITE ADDRESS: 11480 W LARC <br /> Assigned to : EE0004045 TASIOPOULOS <br /> , TRACY <br /> APN : 21219027 <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 /> '.01 441 <br /> fzc. <br /> 5e <br /> I recommend: Approval ®_ Denial Continuance Inspecter---,—� LL <br /> Sa ervisor/Lead Senior COMMENTS: ature <br /> 5 � <br /> i <br /> SUPERVISOR/LEAD SENIOR Approval <br /> Date � <br /> Eli 06 06 Report 47201 <br /> January 09,2009 <br />