Laserfiche WebLink
f� <br /> NOTE: PULL ALL A,AMIT3 (Septic, Well, etc.) MAKE L—PIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004654 <br /> DATE RECEIVED by EHD: October 04,2004 APPL##: PA-04-548 <br /> Referral Agency STAFF CONTACT: KATHY ALLEN PE: 2640 <br /> COMPLETE&SUBMIT BY: LOT LINE ADJUSTMENT(LA) <br />' <br /> Assigned to : EE0000811 HUGGINS <br /> SITE ADDRESS: 26414 E LONE TREE RD, ESCALON APN : 22408060& 62 <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 /> Q <br /> I recommend: Approval F] Denial ❑ Continuance F-1 Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> Proofre" <br /> ad Re nrC': <br /> OA It Check Off List: P Correct LAND USE*2 <br /> ' ,-Correct CONI)IT1ON(S)? Logged`inaLAND USEBook?, <br /> £H 06 06 Report#720I Page 2 October 08,2004 <br />