Laserfiche WebLink
NOTE: PULL ALL=..,,.RMITS (Septic, Well, etc.) MAKE �_-APIES FOR FILE <br /> LAND USE REPORT RECORD ID: SU0004665 <br /> DATE RECEIVED by EHD: October 18,2004 APPL#: PA-04-547 <br /> Referral Agency STAFF CONTACT: GILLIAN HAYES PE : 2663 <br /> VARIANCE(VR) <br /> COMPLETE& SUBMIT BY. Wed, October 27, 2004 <br /> Assigned to : EE0000149 BORGES <br /> SITE ADDRESS: 18929 N LOWER SAC RD, WOODBRIDGE APN : 01545036 <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 /> u <br /> I recommend: Approval El Denial El Continuance ❑ Inspector: /4 <br /> Ai <br /> Supervisor/Lead Senior COMMENTS: !� <br /> v <br /> SUPERVISOR/LEAD SENIOR Approval: Date: <br /> OA 17`6eok Off Lis t: Proofread Report? Correct 1 AND USE ? <br /> " Correct CON D1T10N(S)? .:.... Togged in LAIf1.,[JSE 13ook7 <br /> EH 06 06 Report#7201 Page 5 October 22,2004 <br />