Laserfiche WebLink
NOTE: PULL ALL PERMITS (Septic, Well, etc.) MAKE COPIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0009425 <br /> DATE RECEIVED by EHD: December 04,2012 APPL#: PA-1100021 TE <br /> Referral Agency STAFF CONTACT: MO IIATEF PE : 2631 <br /> SITE APPROVAL-MINOR(SA) <br /> COMPLETE&SUBMIT BY: Tue, December 18, 2012 <br /> Assigned to: EE0004045 TASIOPOULOS <br /> SITE ADDRESS: 28141 E LONE TREE RD, ESCALON APN: 20730010 <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 ' ection, etc.... <br /> Public Water: Public Sewer: <br /> Name of Purveyor Name of System <br /> SUMMARY OR COMMENTS: <br /> t recommend: Approval ® Denial Continuance Inspector: <br /> Signature <br /> Supervisor/Lead Senior COMMENTS: <br /> p IZ01 , <br /> SUPERVISOR/LEAD SENIOR Approval: Date: j Zi <br /> OA 11 Check Off List: Proofread Report9 Correct LAND USE 49 <br /> Correct CONDITION(S)?. Logged in LAND USE Book? <br /> -1106 06 Report 47201 December 04,201 i <br />